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1942704887
DIANA DOMINGUEZ
NEWARK, NJ
NPI
1942704887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44sl06212800)
Enumeration Date
2018-03-23
Last Update Date
2018-03-23
Business Address
DIANA DOMINGUEZ LSW
228 LAFAYETTE ST FL 2
NEWARK, NJ 07105-1815
Phone number: 973-789-8111
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Mailing Address
DIANA DOMINGUEZ LSW
91 MAGAZINE ST APT 201
NEWARK, NJ 07105-3428
Phone number: 732-632-7430
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