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Individual

DOMINIQUE MARGARET LEMIEUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1509 HARRISON AVE, CENTRALIA, WA 98531-4568
(360) 736-0112
Mailing address
110 DIVOT DR, CHEHALIS, WA 98532-8870
(425) 765-4589

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60215181
WA

Other

Enumeration date
05/23/2011
Last updated
05/23/2011
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