Individual
ANDREA DOMINICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
409 BLANDWOOD AVE, GREENSBORO, NC 27401-2705
(336) 285-7616
Mailing address
2808 LEO DR, GREENSBORO, NC 27405-3332
(336) 253-4441
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C009682
NC
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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