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1144679812
MARYANN DOMINGUEZ
MIAMI, FL
NPI
1144679812
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: FL SS 1258)
Enumeration Date
2016-06-03
Last Update Date
2016-11-02
Business Address
-- MARYANN DOMINGUEZ M.S.
4130 SW 113TH AVE
MIAMI, FL 33165-4644
Phone number: 786-470-9273
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Mailing Address
-- MARYANN DOMINGUEZ M.S.
4130 SW 113TH AVE
MIAMI, FL 33165-4644
Phone number: 786-470-9273
Copy
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