Individual
MS. DOMINIQUE NOELLE HYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, SLE
Contact information
Practice address
210 W CRYSTAL LAKE AVE APT 256A, HADDONFIELD, NJ 08033-3261
(856) 979-6298
Mailing address
210 W CRYSTAL LAKE AVE APT 256A, HADDONFIELD, NJ 08033-3261
(856) 979-6298
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
NA
NJ
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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