JUAN R DOMINGUEZ JR

CHICAGO, IL
NPI1750889507
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-01-26
Last Update Date2018-01-26
Business Address
JUAN R DOMINGUEZ JR MA
7101 W ARCHER AVE STE 402
CHICAGO, IL 60638-2231
Phone number: 708-800-5162
Mailing Address
JUAN R DOMINGUEZ JR MA
7101 W ARCHER AVE STE 402
CHICAGO, IL 60638-2231
Phone number: 773-603-5266
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