DOMINIQUE TALLEY

MCCLELLAN, CA
NPI1437622420
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Additional Taxonomies104100000X Social Worker
Enumeration Date2019-01-02
Last Update Date2019-01-02
Business Address
DOMINIQUE TALLEY
5342 DUDLEY BLVD
MCCLELLAN, CA 95652-1012
Phone number: 916-584-4609
Mailing Address
DOMINIQUE TALLEY
104 WILSON CT
FOLSOM, CA 95630-4889
Phone number:
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