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1770963597
DOMONIQUE BLACKMON
RALEIGH, NC
NPI
1770963597
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC A11622)
Enumeration Date
2015-06-06
Last Update Date
2015-06-06
Business Address
-- DOMONIQUE BLACKMON M.S., LPCA
1708 TRAWICK RD SUITE 101
RALEIGH, NC 27604-3897
Phone number: 919-896-7536
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Mailing Address
-- DOMONIQUE BLACKMON M.S., LPCA
2816 VANSTORY ST
GREENSBORO, NC 27407-4844
Phone number: 757-214-2423
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