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Organization
KATHRYN DOMINGUEZ PSYCHOTHERAPY LLC
Active
Organization
KATHRYN DOMINGUEZ PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN DOMINGUEZ (BUSINESS OWNER)
(786) 292-1925
Entity
Organization
Contact information
Practice address
12480 SW 104TH TER, MIAMI, FL 33186-3617
(786) 292-1925
Mailing address
12480 SW 104TH TER, MIAMI, FL 33186-3617
(786) 292-1925
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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