Individual
MONICA DOMINGUEZ-BANUELOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1500 E LINCOLN HWY, DEKALB, IL 60115-3990
(779) 777-7933
Mailing address
1266 AMBER CT, WOODSTOCK, IL 60098-3682
(331) 210-3790
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.015666
IL
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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