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1629694013
STEFIE C DOMINGUEZ
LOS ANGELES, CA
NPI
1629694013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: CA AMFT127933)
Enumeration Date
2020-06-22
Last Update Date
2021-10-05
Business Address
STEFIE C DOMINGUEZ AMFT
1852 W IMPERIAL HWY
LOS ANGELES, CA 90047-5020
Phone number: 213-220-4607
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Mailing Address
STEFIE C DOMINGUEZ AMFT
1290 CYPRESS ST
EAST PALO ALTO, CA 94303-1743
Phone number: 213-220-4607
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