DOMINIQUE MIRA

LONG BEACH, CA
NPI1013791425
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-08-24
Last Update Date2023-11-13
Business Address
DOMINIQUE MIRA
5190 ATLANTIC AVE
LONG BEACH, CA 90805-6510
Phone number: 562-428-4111
Mailing Address
DOMINIQUE MIRA
5190 ATLANTIC AVE
LONG BEACH, CA 90805-6510
Phone number: 562-428-4111
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