Individual
NICOLE DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4220 NORMANDY AVE, DALLAS, TX 75205-2040
(847) 910-3061
Mailing address
4220 NORMANDY AVE, DALLAS, TX 75205-2040
(847) 910-3061
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
TX
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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