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1881059210
DOMINIQUE MC DOWELL
SAN RAFAEL, CA
NPI
1881059210
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA c15041214)
Enumeration Date
2015-12-30
Last Update Date
2015-12-30
Business Address
Mr. DOMINIQUE MC DOWELL CADC-CAS
16 RITTER ST
SAN RAFAEL, CA 94912-3517
Phone number: 415-457-8182
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Mailing Address
Mr. DOMINIQUE MC DOWELL CADC-CAS
11 ALBION ST
SAN RAFAEL, CA 94901-5201
Phone number: 415-879-1723
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