MARC ADRIAN DOMINGUEZ

CALDWELL, ID
NPI1528690773
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-42533)
Enumeration Date2020-02-06
Last Update Date2023-06-15
Business Address
MARC ADRIAN DOMINGUEZ LCSW
3110 CLEVELAND BLVD STE D
CALDWELL, ID 83605-5539
Phone number: 208-614-6752
Mailing Address
MARC ADRIAN DOMINGUEZ LCSW
3110 CLEVELAND BLVD STE D
CALDWELL, ID 83605-5539
Phone number: 208-614-6752
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