Individual
SIMON E DIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 ELM ST, WEST ORANGE, NJ 07052-5816
(973) 489-5717
Mailing address
125 ELM ST, WEST ORANGE, NJ 07052-5816
(973) 489-5717
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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