Individual
ABIGAIL JOY DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2725 HACKETT AVE, LONG BEACH, CA 90815
(562) 318-9484
Mailing address
P.O. BOX 15043, LONG BEACH, CA 90815
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
84449
CA
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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