Individual
DOMINIQUE LASHAE SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
302 W 259TH ST, BRONX, NY 10471-1908
(914) 380-9220
Mailing address
302 W 259TH ST, BRONX, NY 10471-1908
(914) 380-9220
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001596
NY
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
01/02/2018
Last updated
10/25/2023
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