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Organization
DOMINGUEZ COMMUNITY CENTER CORP.
Active
Organization
DOMINGUEZ COMMUNITY CENTER CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADANNYS DOMINGUEZ (PRESIDENT)
(305) 744-4525
Entity
Organization
Contact information
Practice address
13205 SW 137TH AVE STE 132, MIAMI, FL 33186-5334
(786) 478-6369
Mailing address
13205 SW 137TH AVE STE 132, MIAMI, FL 33186-5334
(786) 478-6369
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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