Individual
PAMELA DENGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
183 S ORANGE AVE, NEWARK, NJ 07103-2757
(973) 972-9308
Mailing address
671 HOES LN W, PISCATAWAY, NJ 08854-8021
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5360
NJ
Other
Enumeration date
01/29/2016
Last updated
01/29/2016
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