Individual
DOMINIQUE DANIELLE DEMENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2052 74TH ST N, SAINT PETERSBURG, FL 33710-4634
(727) 742-4548
Mailing address
2052 74TH ST N, SAINT PETERSBURG, FL 33710-4634
(727) 742-4548
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW23020
FL
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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