Individual
DOMINIQUE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10624 BEAR LODGE CT, LAS VEGAS, NV 89129-3281
(702) 416-6749
Mailing address
10624 BEAR LODGE CT, LAS VEGAS, NV 89129-3281
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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