Individual
DOMINIQUE NIASIA PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ATR-P, LAAT
Contact information
Practice address
1114 W 5TH ST, PLAINFIELD, NJ 07063-1424
(908) 391-8710
Mailing address
1114 W 5TH ST, PLAINFIELD, NJ 07063-1424
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
6LA00002100
NJ
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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