Virgen L Dominguez, LCSW

NPI #1811637630 in St Augustine, Florida

Provider Information

NPI Number
1811637630
Entity Type
Individual
Name
Virgen L Dominguez, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Mar 30, 2022
Last Updated
Aug 9, 2023

Practice Location

Address
100 DEERFIELD PRESERVE BLVD
State
Florida
ZIP Code
32086-5966
Phone
(904) 829-0814

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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