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1023257656
MARCELLE DOMINGUEZ
SANTA ROSA, CA
NPI
1023257656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 25110)
Enumeration Date
2009-02-04
Last Update Date
2011-09-08
Business Address
-- MARCELLE DOMINGUEZ LCSW
576 B ST SUITE 1-B
SANTA ROSA, CA 95401-5273
Phone number: 707-339-0398
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Mailing Address
-- MARCELLE DOMINGUEZ LCSW
665 FERGUSON RD
SEBASTOPOL, CA 95472-9637
Phone number: 707-339-0398
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