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1437700200
NICOLE LEANN DOMINGUEZ
SAN JOSE, CA
NPI
1437700200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 91221)
Enumeration Date
2019-09-24
Last Update Date
2020-01-31
Business Address
Ms. NICOLE LEANN DOMINGUEZ LCSW
2425 SAMARITAN DR
SAN JOSE, CA 95124-3908
Phone number: 408-824-3922
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Mailing Address
Ms. NICOLE LEANN DOMINGUEZ LCSW
2425 SAMARITAN DR
SAN JOSE, CA 95124-3908
Phone number: 408-824-3922
Copy
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