Individual
JANNETH DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
701 N PECOS RD BLDG K-1, LAS VEGAS, NV 89101-2400
(702) 824-1034
Mailing address
3313 CORONA DEL MAR DR, LAS VEGAS, NV 89108-4828
(702) 824-1034
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11490-M
NV
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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