Dr Maria Mercedes Dominguez, PHD, LMFT | |
124 Ellis St, Fort Leonard Wood, MO 65473-1148 | |
(808) 600-4458 | |
Not Available |
Full Name | Dr Maria Mercedes Dominguez |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 124 Ellis St, Fort Leonard Wood, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023671849 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 562 (Hawaii) | Secondary |
106H00000X | Marriage & Family Therapist | 4101006781 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Maria Mercedes Dominguez, PHD, LMFT 233 Illinois Ave Unit 752, Fort Leonard Wood, MO 65473-3232 Ph: (808) 600-4458 | Dr Maria Mercedes Dominguez, PHD, LMFT 124 Ellis St, Fort Leonard Wood, MO 65473-1148 Ph: (808) 600-4458 |
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