Individual
MS. LAURENE ANN DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2919 MISSION ST, SAN FRANCISCO, CA 94110-3917
(415) 229-0500
Mailing address
1926 6TH AVE APT 204, OAKLAND, CA 94606-1962
(510) 465-8567
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
ASW 18288
CA
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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