DOMINIQUE SEBASTIAN

PORTLAND, OR
NPI1245707397
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
Enumeration Date2018-10-26
Last Update Date2018-10-26
Business Address
DOMINIQUE SEBASTIAN
1904 SE DIVISION ST
PORTLAND, OR 97202-1146
Phone number: 503-517-8663
Mailing Address
DOMINIQUE SEBASTIAN
1904 SE DIVISION ST
PORTLAND, OR 97202-1146
Phone number: 503-517-8663