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Search › Idaho › 1041C0700X

Dominique Juarez, LCSW-39611

NPI 1871965533 · on the registry since 2015

Practice

Address
314 Badiola St
Caldwell, ID 83605
Phone
(208) 454-8389
Organisation at this address
Human Supports Of Idaho, Inc
Human Supports Of Idaho, Inc
Human Supports Of Idaho, Inc.
Human Supports Of Idaho, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Additional practice sites

  • 8950 W Emerald St, Boise, ID

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-07-07

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 Idaho