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Individual

DR. DOMONIQUE CASPER SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
3401 BEECH ST, SACRAMENTO, CA 95652
(169) 640-8050
Mailing address
580 COLUMBIA AVE, APT 5, SUNNYVALE, CA 94085-4481

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
07/08/2016
Last updated
10/28/2024
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