JEAN C DOMINIQUE

NORTH BALDWIN, NY
NPI1477702850
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  071318-1)
Enumeration Date2008-09-10
Last Update Date2008-10-22
Business Address
Mr. JEAN C DOMINIQUE LMSW
160 LENOX RD
NORTH BALDWIN, NY 11510-1016
Phone number: 516-377-6249
Mailing Address
Mr. JEAN C DOMINIQUE LMSW
160 LENOX RD
NORTH BALDWIN, NY 11510-1016
Phone number: 516-377-6249