Individual
MRS. DOMINIQUE SIMONE DEMARSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
234 COPELAND ST FL 3, QUINCY, MA 02169-4082
(781) 386-7141
(617) 479-4798
Mailing address
39 ALLEN PL, SCITUATE, MA 02066-1301
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
113505
MA
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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