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1710590146
AMANDA WALLER
EATONTOWN, NJ
NPI
1710590146
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NJ 37PC00637200)
Enumeration Date
2020-08-25
Last Update Date
2022-12-09
Business Address
AMANDA WALLER LPC
154 WAYPOINT DR
EATONTOWN, NJ 07724-2184
Phone number: 908-310-7788
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Mailing Address
AMANDA WALLER LPC
409 SOUTH STREET PO BOX 1111
EATONTOWN, NJ 07724-4111
Phone number: 908-310-7788
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