Individual
DOMINIQUE RASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
702 SAN PEDRO AVE, SAN ANTONIO, TX 78212-4610
(210) 725-3245
Mailing address
113 PLEASANT VALLEY DR STE 210, BOERNE, TX 78006-5683
(830) 267-4575
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
62688
TX
171M00000X
Case Manager/Care Coordinator
62688
TX
Other
Enumeration date
09/25/2019
Last updated
09/03/2020
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