Individual
MS. ADALIA JOANNE DOMINIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 RIVERVIEW CT APT 103, LAUREL, MD 20707-4137
(443) 743-4466
Mailing address
10 RIVERVIEW CT APT 103, LAUREL, MD 20707-4137
(443) 743-4466
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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