Individual
MS. DOMONIQUE MOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1811 BOTHWELL ST, GREENSBORO, NC 27401-3902
(201) 744-9346
Mailing address
1811 BOTHWELL ST, GREENSBORO, NC 27401-3902
(201) 744-9346
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
—
—
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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