Individual
MS. ANN MARIE FLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
50 MORRIS AVE, DENVILLE, NJ 07834-1735
(973) 625-7070
(973) 625-7110
Mailing address
50 MORRIS AVE, DENVILLE, NJ 07834-1735
(973) 625-7070
(973) 625-7110
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223319886
ORGANIZATION TAX ID
NJ
05
—
310050
—
NJ
05
—
4138601
—
NJ
Enumeration date
06/03/2010
Last updated
06/03/2010
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