Individual
MRS. AMY STAUTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,LPC
Contact information
Practice address
137 W CEDAR AVE, OAKLYN, NJ 08107-2401
(856) 854-4699
Mailing address
137 W CEDAR AVE, OAKLYN, NJ 08107-2401
(856) 854-4699
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37PC00375700
NJ
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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