Individual
AMIRA DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 GAELIC CT, JACKSON, NJ 08527-1175
(732) 261-5605
Mailing address
4 GAELIC CT, JACKSON, NJ 08527-1175
(732) 261-5605
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/21/2022
Last updated
07/31/2024
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