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Individual
KATHERINE MARIE DOMINGUEZ
Active
Individual
KATHERINE MARIE DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ASW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
100517
CA
101YM0800X
Mental Health Counselor
100517
CA
104100000X
Social Worker
Primary
100517
CA
106H00000X
Marriage & Family Therapist
100517
CA
Other
Enumeration date
08/17/2021
Last updated
05/25/2023
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