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1154013308
SYDNEY DOMINGUEZ
MATTOON, IL
NPI
1154013308
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-05-25
Last Update Date
2023-05-25
Business Address
SYDNEY DOMINGUEZ RSA
750 BROADWAY AVE E
MATTOON, IL 61938-4610
Phone number: 217-238-5735
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Mailing Address
SYDNEY DOMINGUEZ RSA
750 BROADWAY AVE E
MATTOON, IL 61938-4610
Phone number: 217-238-5735
Copy
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