Search › Pennsylvania › 104100000X
Dominique Mines, LSW
NPI 1861142721 · on the registry since 2022 · sole proprietor
Practice
- Address
- 2813 Benner St
Philadelphia, PA 19149 - Phone
- (267) 336-4269
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-03-24
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 Pennsylvania