Individual
MRS. AMY LYNN FLAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LPC
Contact information
Practice address
139 SOUTH ST, SUITE 201, NEW PROVIDENCE, NJ 07974
(908) 477-3782
Mailing address
26 PITTSFORD WAY, NEW PROVIDENCE, NJ 07974
(908) 244-9020
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00178300
NJ
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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