Individual
MICHELE ANN CORKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1135 CLIFTON AVE STE 103, CLIFTON, NJ 07013-3643
(973) 988-4241
(718) 278-4057
Mailing address
70A FREMONT ST APT 8, BLOOMFIELD, NJ 07003-3429
(973) 619-5831
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00560800
NJ
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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