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Individual

ANGIE D DOMINGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9425 SUNSET DR STE F251, MIAMI, FL 33173-3251
(786) 836-8595
Mailing address
118 MADEIRA AVE APT 4, CORAL GABLES, FL 33134-4504
(786) 762-1884

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
04/05/2024
Last updated
04/28/2026
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