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Individual

MRS. DOMINIQUE ANGELA LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4200 FORBES BLVD, LANHAM, MD 20706-4342
(301) 781-7885
Mailing address
6322 KINSEY TER, LANHAM, MD 20706-2395
(240) 205-3516

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
01/21/2025
Last updated
01/21/2025
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