Individual
ANGELA C DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, ACSW
Contact information
Practice address
8600 SW 92ND ST STE 106, MIAMI, FL 33156-7377
(305) 274-7053
(305) 274-5114
Mailing address
8600 SW 92ND ST STE 106, MIAMI, FL 33156-7377
(305) 274-7053
(305) 274-5114
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW000641
FL
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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