| NPI | 1386964278 |
|---|---|
| Doing Business As | JENNIFER FLACK |
| Entity Type | Organization |
| Authorized Contact | JENNIFER LENORE FLACK Owner 810-309-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301014240) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401006094) |
| 103T00000X Psychologist (Licence: MI 6301005725) | |
| 103T00000X Psychologist (Licence: MI 6301002268) | |
| 104100000X Social Worker (Licence: MI 6801006671) | |
| 104100000X Social Worker (Licence: MI 6801019131) | |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2011-07-19 |