Individual
DOMINIQUE TOMIKA VERCILIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
123 WHITE DR APT K1, TALLAHASSEE, FL 32304-3010
(850) 466-9759
Mailing address
123 WHITE DR APT K1123, TALLAHASSEE, FL 32304-3050
(786) 939-2892
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW21293
FL
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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