DOMINIQUE SHABAZZ

HARTFORD, CT
NPI1154808855
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CT  101973)
Enumeration Date2018-07-25
Last Update Date2018-07-25
Business Address
DOMINIQUE SHABAZZ
660 PROSPECT AVE
HARTFORD, CT 06105-4230
Phone number: 860-778-0266
Mailing Address
DOMINIQUE SHABAZZ
40 COURT ST
WINDSOR, CT 06095-2909
Phone number:
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