NICOLE LEANN DOMINGUEZ

SAN JOSE, CA
NPI1437700200
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  91221)
Enumeration Date2019-09-24
Last Update Date2020-01-31
Business Address
Ms. NICOLE LEANN DOMINGUEZ LCSW
2425 SAMARITAN DR
SAN JOSE, CA 95124-3908
Phone number: 408-824-3922
Mailing Address
Ms. NICOLE LEANN DOMINGUEZ LCSW
2425 SAMARITAN DR
SAN JOSE, CA 95124-3908
Phone number: 408-824-3922