Individual
JESSICA DAWN DOMINOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
421 NEBRASKA ST, SIOUX CITY, IA 51101-1311
(712) 224-2774
(712) 224-2775
Mailing address
3833 CHIPPEWA CT, SIOUX CITY, IA 51104-4305
(712) 301-1889
(712) 224-2775
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
007780
IA
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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