EBONY DOMINGO

BLACKLICK, OH
NPI1518582394
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2020-06-08
Last Update Date2021-07-23
Business Address
EBONY DOMINGO
1582 N WAGGONER RD
BLACKLICK, OH 43004-8669
Phone number: 303-989-8169
Mailing Address
EBONY DOMINGO
1582 N WAGGONER RD
BLACKLICK, OH 43004-8669
Phone number:
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