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Individual
ENID FLAGG
Active
Individual
ENID FLAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
5736
NJ
103TC0700X
Clinical Psychologist
5736
NJ
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
5736
NJ
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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