VIRGEN L DOMINGUEZ

ST AUGUSTINE, FL
NPI1811637630
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  SW12393)
Enumeration Date2022-03-30
Last Update Date2023-08-09
Business Address
VIRGEN L DOMINGUEZ LCSW
100 DEERFIELD PRESERVE BLVD
ST AUGUSTINE, FL 32086-5966
Phone number: 904-829-0814
Mailing Address
VIRGEN L DOMINGUEZ LCSW
100 DEERFIELD PRESERVE BLVD
ST AUGUSTINE, FL 32086-5966
Phone number: 904-829-0814