Individual
MISS DOMINIQUE ANN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MA, PD
Contact information
Practice address
295 PARK AVE SOUTH, APT# 17PHO, NEW YORK, NY 10010
(917) 279-1273
Mailing address
295 PARK AVE SOUTH, APT# 17PHO, NEW YORK, NY 10010
(917) 279-1273
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2790832
NY
Other
Enumeration date
08/30/2017
Last updated
07/21/2022
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