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Individual
JOSE DOMINGUEZ RODRIGUEZ SR.
Active
Individual
JOSE DOMINGUEZ RODRIGUEZ SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MH-14987
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH-14987
FL
101YM0800X
Mental Health Counselor
PMH 1274
FL
103K00000X
Behavior Analyst
MH-14987
FL
Other
Enumeration date
05/25/2016
Last updated
03/17/2021
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