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DOMINIQUE PLACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
40 HART ST, NEW BRITAIN, CT 06052-1759
(860) 793-3500
Mailing address
384 LIBERTY ST, MERIDEN, CT 06450-4529
(203) 935-5501

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MSW.006963
CT

Other

Enumeration date
02/12/2024
Last updated
02/12/2024
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