Individual
JULIE DOMINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
522 EAGLES TRL, OTTERTAIL, MN 56571-2801
(218) 820-3328
Mailing address
522 EAGLES TRL, OTTERTAIL, MN 56571-2801
(218) 820-3328
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
MN
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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