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1114508314
DOMINIQUE MOSS
WATERBURY, CT
NPI
1114508314
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: CT 130506001)
Enumeration Date
2021-04-19
Last Update Date
2021-04-19
Business Address
DOMINIQUE MOSS LMSW
855 LAKEWOOD RD
WATERBURY, CT 06704-5408
Phone number: 203-695-7691
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Mailing Address
DOMINIQUE MOSS LMSW
855 LAKEWOOD RD
WATERBURY, CT 06704-5408
Phone number:
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