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1093384026
MICAIAH DOMINGUEZ
BROOKLYN, NY
NPI
1093384026
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-06-23
Last Update Date
2021-06-23
Business Address
MICAIAH DOMINGUEZ
134 N 4TH ST
BROOKLYN, NY 11249-3296
Phone number: 646-400-5717
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Mailing Address
MICAIAH DOMINGUEZ
217 HAMILTON AVE APT 3E
STATEN ISLAND, NY 10301-1636
Phone number: 917-324-2665
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