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Individual
KIMBERLY V DOMINGUEZ LEON
Active
Individual
KIMBERLY V DOMINGUEZ LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
125147
CA
Other
Enumeration date
10/14/2021
Last updated
05/29/2025
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