Individual
DANNICIOUS BAI ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
190 W INGHAM AVE, EWING, NJ 08638-5014
(909) 682-4618
Mailing address
190 W INGHAM AVE, EWING, NJ 08638-5014
(909) 682-4618
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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