CARLAH DOMINIQUE

ISELIN, NJ
NPI1770190043
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NJ  37LC00320100)
Enumeration Date2020-09-30
Last Update Date2020-09-30
Business Address
CARLAH DOMINIQUE LCADC
670 ROUTE 1 N
ISELIN, NJ 08830-2629
Phone number: 732-510-1140
Mailing Address
CARLAH DOMINIQUE LCADC
2701 RENAISSANCE BLVD FL 4
KING OF PRUSSIA, PA 19406-2781
Phone number: 484-803-9663
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