Individual
DOMINIQUE J. TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1629 K ST NW STE 300, WASHINGTON, DC 20006-1631
(240) 435-4708
Mailing address
5925 2ND PL NW, WASHINGTON, DC 20011-2207
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LG50083756
DC
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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