Individual
MONICA DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LMSW
Contact information
Practice address
2225 N CHARLES ST, BALTIMORE, MD 21218-5778
(410) 453-9553
Mailing address
1925 GREENSPRING DR, TIMONIUM, MD 21093-4128
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
23812
MD
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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