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1093106056
TAWNY DOMINGUEZ
IRVINE, CA
NPI
1093106056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA LMFT80053)
Enumeration Date
2015-02-12
Last Update Date
2015-02-12
Business Address
-- TAWNY DOMINGUEZ
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 619-977-7102
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Mailing Address
-- TAWNY DOMINGUEZ
PO BOX 33568
SAN DIEGO, CA 92163-3568
Phone number: 619-977-7102
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