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1164185336
KIMBERLY V DOMINGUEZ
SANTA FE SPRINGS, CA
NPI
1164185336
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2021-10-14
Last Update Date
2021-10-14
Business Address
KIMBERLY V DOMINGUEZ
11015 BLOOMFIELD AVENUE
SANTA FE SPRINGS, CA 90670
Phone number: 562-906-2676
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Mailing Address
KIMBERLY V DOMINGUEZ
11015 BLOOMFIELD AVE
SANTA FE SPRINGS, CA 90670-4601
Phone number: 562-206-2676
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