Individual
DOMINIQUE LASHEA HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6505 216TH ST SW STE 100, MOUNTLAKE TERRACE, WA 98043-2089
(425) 640-7009
Mailing address
100 N HOWARD ST STE W, SPOKANE, WA 99201-0508
(734) 355-0321
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC61519368
WA
171400000X
Health & Wellness Coach
—
—
Other
Enumeration date
03/01/2023
Last updated
10/24/2024
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