Individual
MRS. DOMINIQUE TIRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 EMERSON ST STE 4, EAST BRUNSWICK, NJ 08816-4400
(732) 419-8103
Mailing address
67 GATE LN, OLD BRIDGE, NJ 08857-4127
(917) 747-0006
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07284800
NJ
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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