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1891520169
MARY DOMINGUEZ
LAKEWOOD, CO
NPI
1891520169
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CO LPC.0017339)
Enumeration Date
2024-09-05
Last Update Date
2024-09-05
Business Address
MARY DOMINGUEZ LPC
12211 W ALAMEDA PKWY STE 105
LAKEWOOD, CO 80228-2825
Phone number: 979-777-5993
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Mailing Address
MARY DOMINGUEZ LPC
3526 NEWLAND ST
WHEAT RIDGE, CO 80033-6443
Phone number: 979-777-5993
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