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1417663659
DOMINIQUE CORREA
WINSTON SALEM, NC
NPI
1417663659
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Former Name
DOMINIQUE TAYLOR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A18326)
Enumeration Date
2023-01-30
Last Update Date
2023-08-07
Business Address
DOMINIQUE CORREA LCMHCA
206 FAIR OAKS LN
WINSTON SALEM, NC 27127-3178
Phone number: 336-745-7179
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Mailing Address
DOMINIQUE CORREA LCMHCA
206 FAIR OAKS LN
WINSTON SALEM, NC 27127-3178
Phone number: 984-244-1695
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