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1124517156
CAITLYN ELIZABETH DOMINGUEZ
SACRAMENTO, CA
NPI
1124517156
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2018-05-04
Last Update Date
2018-05-04
Business Address
Ms. CAITLYN ELIZABETH DOMINGUEZ BSW
7415 HENRIETTA DR
SACRAMENTO, CA 95822-5142
Phone number: 916-896-7480
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Mailing Address
Ms. CAITLYN ELIZABETH DOMINGUEZ BSW
3440 VIKING DR
SACRAMENTO, CA 95827-2844
Phone number: 916-364-8395
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