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1477702850
JEAN C DOMINIQUE
NORTH BALDWIN, NY
NPI
1477702850
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 071318-1)
Enumeration Date
2008-09-10
Last Update Date
2008-10-22
Business Address
Mr. JEAN C DOMINIQUE LMSW
160 LENOX RD
NORTH BALDWIN, NY 11510-1016
Phone number: 516-377-6249
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Mailing Address
Mr. JEAN C DOMINIQUE LMSW
160 LENOX RD
NORTH BALDWIN, NY 11510-1016
Phone number: 516-377-6249
Copy
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