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1154782803
MILDRED DOMINGUEZ
TAMPA, FL
NPI
1154782803
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMH14058)
Enumeration Date
2016-03-09
Last Update Date
2016-03-09
Business Address
-- MILDRED DOMINGUEZ LMHC
ONE CRISIS CENTER PLAZA
TAMPA, FL 33613
Phone number: 813-964-1964
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Mailing Address
-- MILDRED DOMINGUEZ LMHC
ONE CRISIS CENTER PLAZA
TAMPA, FL 33613
Phone number: 813-964-1964
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