DOMINIQUE COLEMAN ROACH

NEW YORK, NY
NPI1841859733
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  35549)
Enumeration Date2019-06-13
Last Update Date2019-06-13
Business Address
DOMINIQUE COLEMAN ROACH csac-t
1727 AMSTERDAM AVE
NEW YORK, NY 10031-4611
Phone number: 646-340-1403
Mailing Address
DOMINIQUE COLEMAN ROACH csac-t
1727 AMSTERDAM AVE
NEW YORK, NY 10031-4611
Phone number: 646-340-1403
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