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Individual

JOSIAS CALEB AGUIAR DOMINGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
3171 N MERIDIAN ST, INDIANAPOLIS, IN 46208-4784
(317) 941-5003
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
Primary
67572
CA
104100000X
Social Worker
67572
CA
1041C0700X
Clinical Social Worker

Other

Enumeration date
10/03/2013
Last updated
04/08/2026
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