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Individual
MS. ROSALVA DOMINGUEZ
Active
Individual
MS. ROSALVA DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW 22403
CA
1041C0700X
Clinical Social Worker
91222
CA
1041C0700X
Clinical Social Worker
Primary
LCSW91222
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YM0800X
ASSOCIATE CLINICAL SOCIAL WORKER
CA
Enumeration date
11/26/2007
Last updated
01/05/2022
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