DOMINIQUE ACACIA

FREEPORT, NY
NPI1275305898
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2023-10-26
Last Update Date2023-12-21
Business Address
DOMINIQUE ACACIA
88 S BERGEN PL APT D4
FREEPORT, NY 11520-3549
Phone number: 718-614-1014
Mailing Address
DOMINIQUE ACACIA
88 S BERGEN PL APT D4
FREEPORT, NY 11520-3549
Phone number: 718-614-1014