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JESSICA DOMINGUEZ, LCSW
LCSW
Clinical Social Worker
NPI: 1407176209Individual
Specialties, Licenses & Credentials
Social Worker
Social Worker
Code: 104100000X
080537-1(NY)
Clinical Social WorkerPrimary
Social Worker — Clinical
Code: 1041C0700X
082105(NY)
CMS Specialties
PrimaryCLINICAL SOCIAL WORKER
Education
OTHER
Class of 2009
Contact & Hours
- Address
- 11 ROUTE 111
SMITHTOWN, NY 11787 - Phone
- (631) 920-8300
Quick Facts
- NPI
- 1407176209
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 17
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