DOMINIQUE DOMINGUEZ

PHILADELPHIA, PA
NPI1083171862
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-02-27
Last Update Date2019-02-27
Business Address
DOMINIQUE DOMINGUEZ
5043 FRANKFORD AVE
PHILADELPHIA, PA 19124-2644
Phone number: 215-744-4343
Mailing Address
DOMINIQUE DOMINGUEZ
12203 BARBARY RD
PHILADELPHIA, PA 19154-1801
Phone number: