Individual
ANGEL L DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
301 2ND ST NE, NEW PRAGUE, MN 56071-1709
(952) 758-4431
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
082177
IA
1041C0700X
Clinical Social Worker
Primary
26733
MN
Other
Enumeration date
08/21/2023
Last updated
03/19/2024
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