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1831405406
LOURDES DOMINGUEZ
PHILADELPHIA, PA
NPI
1831405406
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2010-08-20
Last Update Date
2010-08-20
Business Address
LOURDES DOMINGUEZ BA
2152 N FRONT ST
PHILADELPHIA, PA 19122-1705
Phone number: 484-221-9136
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Mailing Address
LOURDES DOMINGUEZ BA
2030 W TILGHMAN ST SUITE 105B
ALLENTOWN, PA 18104-4354
Phone number: 484-221-9136
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