Individual
DOMINIQUE STEGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8118 GOOD LUCK RD, LANHAM, MD 20706-3574
(314) 552-8118
Mailing address
2 GLASGOW CT, FLORISSANT, MO 63033-8025
(314) 495-5655
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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