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1730826306
SAMANTHA DOMINGUEZ
SAN JOSE, CA
NPI
1730826306
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT120238)
Enumeration Date
2022-05-16
Last Update Date
2022-05-16
Business Address
SAMANTHA DOMINGUEZ
1494 LAKESHORE CIR
SAN JOSE, CA 95131-3598
Phone number: 805-291-2355
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Mailing Address
SAMANTHA DOMINGUEZ
PO BOX 612751
SAN JOSE, CA 95161-2751
Phone number:
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