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Individual
DOMINIQUE SANSBURY
Active
Individual
DOMINIQUE SANSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LGP11593
MD
101YP2500X
Professional Counselor
Primary
LGPC00559
DC
Other
Enumeration date
08/15/2021
Last updated
08/15/2021
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