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1073794202
SHELIA ELAINE DOMINIQUE-GREEN
RIVERSIDE, CA
NPI
1073794202
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-11-15
Last Update Date
2007-11-15
Business Address
-- SHELIA ELAINE DOMINIQUE-GREEN
3190 CHICAGO AVE
RIVERSIDE, CA 92507-3448
Phone number: 951-341-6440
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Mailing Address
-- SHELIA ELAINE DOMINIQUE-GREEN
PO BOX 1405
RIVERSIDE, CA 92502-1405
Phone number: 951-341-6440
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