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Jean Dominique, LMSW

NPI 1477702850 · on the registry since 2008 · sole proprietor

Practice

Address
160 Lenox Rd
North Baldwin, NY 11510
Phone
(516) 377-6249
Fax
(718) 221-7240

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-10-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York