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Individual

ALICIA ERIKA DOMINGUEZ

Active
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Individual

ALICIA ERIKA DOMINGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
ASW63368
CA
1041C0700X
Clinical Social Worker
Primary
LCSW83413
CA

Other

Enumeration date
10/31/2014
Last updated
06/20/2024
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