Individual
DOMINIQUE N BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 E WASHINGTON ST STE 1718, CHICAGO, IL 60602-1839
(312) 566-8536
Mailing address
212 E CULLERTON ST APT 1101, CHICAGO, IL 60616-1299
(504) 621-4946
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.001893
IL
Other
Enumeration date
11/27/2018
Last updated
06/12/2025
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