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Organization
MARTHA DOMINGUEZ, LCSW, LMFT, PLLC
Active
Organization
MARTHA DOMINGUEZ, LCSW, LMFT, PLLC
Active
Other names
Martha L Dominguez, LCSW, LMFT. PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA DOMINGUEZ LCSW, LMFT (PROVIDER)
(915) 772-1829
Entity
Organization
Contact information
Practice address
5959 GATEWAY BLVD W STE 570, EL PASO, TX 79925-3395
(915) 772-1829
Mailing address
5959 GATEWAY BLVD W STE 570, EL PASO, TX 79925-3395
(915) 772-1829
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205943537
NPI
TX
Enumeration date
08/09/2022
Last updated
08/09/2022
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