Individual
BERTHA DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
680 E COLORADO BLVD STE 180, PASADENA, CA 91101-6144
(646) 941-7645
(929) 596-7897
Mailing address
3509 E OCEAN BLVD, 6, LONG BEACH, CA 90803
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
109935
CA
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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