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Individual

AMANDA BONAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9 POWELL RD, ALLENDALE, NJ 07401-2010
(551) 427-6605
Mailing address
9 POWELL RD, ALLENDALE, NJ 07401-2010

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SL06244200
NJ
1041S0200X
School Social Worker
1047835
NJ

Other

Enumeration date
02/09/2017
Last updated
02/09/2017
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