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1669860912
MARTHA DOMINGUEZ
BRONX, NY
NPI
1669860912
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Professional Name
MARTHA DOMINGUEZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY P90854)
Enumeration Date
2015-01-08
Last Update Date
2015-01-08
Business Address
-- MARTHA DOMINGUEZ
3600 JEROME AVE
BRONX, NY 10467
Phone number: 917-612-9054
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Mailing Address
-- MARTHA DOMINGUEZ
370 E 160TH ST
BRONX, NY 10451-4404
Phone number: 718-309-3090
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