MRS. Rose Mary Medina-Dominguez, LCSW
NPI #1043518046 in Taos, New Mexico
Provider Information
- NPI Number
- 1043518046
- Entity Type
- Individual
- Name
- MRS. Rose Mary Medina-Dominguez, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Mar 1, 2011
- Last Updated
- Feb 5, 2024
Practice Location
- Address
- 105 BERTHA RD STE B
- City
- Taos
- State
- New Mexico
- ZIP Code
- 87571-7148
- Phone
- (575) 758-4297
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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