Individual
JULIET B DOMINY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1180 WILLOWLAKE RD, MERIDIAN, MS 39305-9517
(601) 527-5486
Mailing address
1180 WILLOWLAKE RD, MERIDIAN, MS 39305-9517
(601) 527-5486
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C7323
MS
Other
Enumeration date
02/19/2022
Last updated
02/19/2022
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