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1487920096
DAVIDA M DOMINGUEZ
MODESTO, CA
NPI
1487920096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2012-03-28
Last Update Date
2012-03-28
Business Address
Mrs. DAVIDA M DOMINGUEZ MSW, ASW
1524 MCHENRY AVE
MODESTO, CA 95350-4500
Phone number: 650-493-5000
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Mailing Address
Mrs. DAVIDA M DOMINGUEZ MSW, ASW
1524 MCHENRY AVE
MODESTO, CA 95350-4500
Phone number:
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