MR. Jean C Dominique, LMSW
NPI #1477702850 in North Baldwin, New York
Provider Information
- NPI Number
- 1477702850
- Entity Type
- Individual
- Name
- MR. Jean C Dominique, LMSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LMSW
- Enumeration Date
- Sep 10, 2008
- Last Updated
- Oct 22, 2008
Practice Location
- Address
- 160 LENOX RD
- City
- North Baldwin
- State
- New York
- ZIP Code
- 11510-1016
- Phone
- (516) 377-6249
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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