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Individual

SOCORRO DOMINGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
10165 N 92ND ST STE 101, SCOTTSDALE, AZ 85258-4558
(480) 994-9773
Mailing address
1607 N LINDA CIR, MESA, AZ 85213-3531
(602) 319-8632

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
01/24/2023
Last updated
01/18/2024
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