Individual
YARLEEN DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
86 S HARRISON ST, EAST ORANGE, NJ 07018-1748
(973) 324-7891
Mailing address
86 S HARRISON ST, EAST ORANGE, NJ 07018-1748
(973) 324-7891
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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