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1336369198
CLARISSE MARIE DOMINGO
STATEN ISLAND, NY
NPI
1336369198
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 074066-1)
Enumeration Date
2007-04-26
Last Update Date
2007-10-16
Business Address
-- CLARISSE MARIE DOMINGO
239 LIVINGSTON AVE
STATEN ISLAND, NY 10314-6933
Phone number: 917-293-6314
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Mailing Address
-- CLARISSE MARIE DOMINGO
239 LIVINGSTON AVE
STATEN ISLAND, NY 10314-6933
Phone number: 718-370-2768
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