Individual
AMANDA MATHISEN STYLIANOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
84 ROUTE 31 NORTH, SUITE 200, PENNINGTON, NJ 08534
(609) 647-7875
Mailing address
84 ROUTE 31 NORTH, SUITE 200, PENNINGTON, NJ 08534
(609) 647-7875
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC054440000
NJ
1041C0700X
Clinical Social Worker
44SL05502400
NJ
Other
Enumeration date
04/02/2010
Last updated
01/07/2011
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