Angel L Dominguez, LICSW
NPI #1891579827 in New Prague, Minnesota
Provider Information
- NPI Number
- 1891579827
- Entity Type
- Individual
- Name
- Angel L Dominguez, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Aug 21, 2023
- Last Updated
- Mar 19, 2024
Practice Location
- Address
- 301 2ND ST NE
- City
- New Prague
- State
- Minnesota
- ZIP Code
- 56071-1709
- Phone
- (952) 758-4431
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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