Individual
ADRIANNE DOMINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4678 OHIO ST UNIT 6, SAN DIEGO, CA 92116-3262
(858) 218-5981
Mailing address
8345 KERN CRES, SAN DIEGO, CA 92127-4111
(858) 218-5981
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
72575
CA
1041C0700X
Clinical Social Worker
Primary
110232
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/04/2015
Last updated
07/10/2025
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