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1518414010
JESSICA DOMINO
NORTH LITTLE ROCK, AR
NPI
1518414010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: CO PSY.0004502)
Enumeration Date
2016-09-01
Last Update Date
2020-07-20
Business Address
JESSICA DOMINO Ph.D.
2200 FORT ROOTS DR # 116B
NORTH LITTLE ROCK, AR 72114-1709
Phone number: 501-257-3481
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Mailing Address
JESSICA DOMINO Ph.D.
2500 LEESTOWN RD 116B
LEXINGTON, KY 40511-1052
Phone number:
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