DOMINIQUE HORTON

MILWAUKEE, WI
NPI1316482334
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  16102-132)
Enumeration Date2016-12-29
Last Update Date2016-12-29
Business Address
-- DOMINIQUE HORTON CSAC
2319 W CAPITOL DR
MILWAUKEE, WI 53206-1919
Phone number: 414-442-2033
Mailing Address
-- DOMINIQUE HORTON CSAC
2319 W CAPITOL DR
MILWAUKEE, WI 53206-1919
Phone number: 414-442-2033
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