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1841386059
KELLY RAE DOMINICI
VANCOUVER, WA
NPI
1841386059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Additional Taxonomies
1041C0700X Social Worker, Clinical
Enumeration Date
2006-10-05
Last Update Date
2022-12-20
Business Address
Miss KELLY RAE DOMINICI LCSW
1601 E FOURTH PLAIN BLVD # V3-SATP
VANCOUVER, WA 98661-3753
Phone number: 503-237-5296
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Mailing Address
Miss KELLY RAE DOMINICI LCSW
3818 N PIONEER CANYON DR
RIDGEFIELD, WA 98642-8288
Phone number:
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