Individual
MRS. RAQUEL DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5373 N UNION BLVD STE 103, COLORADO SPRINGS, CO 80918-2073
(719) 644-6131
Mailing address
5373 N UNION BLVD STE 203, COLORADO SPRINGS, CO 80918-2073
(710) 644-6131
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
NLC0110365
—
Other
Enumeration date
10/10/2019
Last updated
03/03/2021
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