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1174125322
DOMINIQUE LATRECE SQUIRE
WINTERVILLE, NC
NPI
1174125322
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C017135)
Enumeration Date
2020-11-12
Last Update Date
2024-05-22
Business Address
DOMINIQUE LATRECE SQUIRE LCSW
575 S SQUARE DR APT 103
WINTERVILLE, NC 28590-8699
Phone number: 919-423-7483
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Mailing Address
DOMINIQUE LATRECE SQUIRE LCSW
575 S SQUARE DR APT 103
WINTERVILLE, NC 28590-8699
Phone number: 919-423-7483
Copy
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