Individual
ANALIESE MEG DOMINGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
770 E SHAW AVE, SUITE 103, FRESNO, CA 93710-7717
(559) 285-2921
(559) 468-6041
Mailing address
770 E SHAW AVE, SUITE 103, FRESNO, CA 93710-7717
(559) 285-2921
(559) 468-6041
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
73050
CA
Other
Enumeration date
10/10/2012
Last updated
08/29/2016
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