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1144855636
KETTY DOMINQUEZ
WEST PALM BEACH, FL
NPI
1144855636
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL mh17812)
Enumeration Date
2020-03-05
Last Update Date
2020-03-05
Business Address
KETTY DOMINQUEZ licensed mental heal
4101 PARKER AVE
WEST PALM BEACH, FL 33405-2507
Phone number: 561-616-1222
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Mailing Address
KETTY DOMINQUEZ licensed mental heal
4101 PARKER AVE
WEST PALM BEACH, FL 33405-2507
Phone number: 561-616-1222
Copy
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