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Individual
MR. DANIEL FONTANEZ DOMINGUEZ JR.
Active
Individual
MR. DANIEL FONTANEZ DOMINGUEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCS18257
CA
Other
Enumeration date
08/28/2007
Last updated
09/21/2007
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