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Individual

AMY BAKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
81 WARWICK TPKE, HEWITT, NJ 07421-2816
(973) 506-6645
(973) 506-4533
Mailing address
81 WARWICK TPKE, HEWITT, NJ 07421-2816
(973) 506-6645
(973) 506-4533

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00647200
NJ

Other

Enumeration date
08/16/2022
Last updated
08/16/2022
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