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Organization
KINTSUGI THERAPY SERVICES
Active
Organization
KINTSUGI THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGDALIA DOMINGUEZ LICSW (FOUNDER)
(612) 310-0424
Entity
Organization
Contact information
Practice address
1205 OXFORD WAY, COCOA, FL 32922-6445
(612) 279-8677
Mailing address
1205 OXFORD WAY, COCOA, FL 32922-6445
(612) 310-0424
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
09/01/2023
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