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1356535843
DANIEL FONTANEZ DOMINGUEZ
SAN JOSE, CA
NPI
1356535843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA LCS18257)
Enumeration Date
2007-08-28
Last Update Date
2007-09-21
Business Address
Mr. DANIEL FONTANEZ DOMINGUEZ MSW, LCSW
1075 E SANTA CLARA ST
SAN JOSE, CA 95116-2244
Phone number: 408-299-6785
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Mailing Address
Mr. DANIEL FONTANEZ DOMINGUEZ MSW, LCSW
884 MULCASTER CT
SAN JOSE, CA 95136-1758
Phone number: 408-299-6785
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