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1811469463
NICHOLAS GLEN DOMINIQUE
SEATTLE, WA
NPI
1811469463
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2018-12-20
Last Update Date
2019-07-16
Business Address
NICHOLAS GLEN DOMINIQUE
222 WALL ST # 100
SEATTLE, WA 98121-1431
Phone number: 206-441-3043
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Mailing Address
NICHOLAS GLEN DOMINIQUE
222 WALL ST # 100
SEATTLE, WA 98121-1431
Phone number:
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