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1386822377
DOMINIQUE A GILLIS
LOS ANGELES, CA
NPI
1386822377
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Former Name
DOMINIQUE A JEFFERY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 53674)
Enumeration Date
2008-02-01
Last Update Date
2024-02-21
Business Address
DOMINIQUE A GILLIS MFT
300 UCLA MEDICAL PLAZA SUITE 2200
LOS ANGELES, CA 90095-8346
Phone number: 323-271-1600
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Mailing Address
DOMINIQUE A GILLIS MFT
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number: 310-301-5200
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