DOMINIQUE DAVI JUAREZ

CALDWELL, ID
NPI1871965533
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: ID  LCSW-39611)
Enumeration Date2015-10-21
Last Update Date2020-07-07
Business Address
DOMINIQUE DAVI JUAREZ LCSW-39611
314 BADIOLA ST
CALDWELL, ID 83605-4389
Phone number: 208-454-8389
Mailing Address
DOMINIQUE DAVI JUAREZ LCSW-39611
515 E HERITAGE PARK ST
MERIDIAN, ID 83646-6293
Phone number: 208-371-8420
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