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1225734775
MICHELLE DOMINGUEZ
SCRANTON, PA
NPI
1225734775
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-02-06
Last Update Date
2023-02-06
Business Address
MICHELLE DOMINGUEZ MSc
116 LARCH ST
SCRANTON, PA 18509-2802
Phone number: 570-489-5561
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Mailing Address
MICHELLE DOMINGUEZ MSc
642 WILLOW ST
SCRANTON, PA 18505-4247
Phone number: 570-507-2469
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