Individual
DOMINIQUE RENEE GROAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5125 N MARKET ST, SPOKANE, WA 99217-6131
(509) 220-3109
Mailing address
PO BOX 291, VALLEYFORD, WA 99036-0291
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/10/2023
Last updated
10/24/2023
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