Individual
LAURIE ANN DOMINY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30045-8444
(770) 712-0951
(770) 822-1698
Mailing address
214 ASHFORD PKWY, DUNWOODY, GA 30338-5528
(770) 316-0399
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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