Individual
DOMINIQUE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
770 WOODLANE RD, WESTAMPTON, NJ 08060-3804
(609) 267-5928
Mailing address
14 CORNWALL AVE, TRENTON, NJ 08618-3318
(609) 658-5314
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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