| Jennifer Dominguez, | |
|
100 Prison Rd, Represa, CA 95671-0066 | |
| (916) 985-8610 | |
| (916) 294-3121 |
| Full Name | Jennifer Dominguez |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 100 Prison Rd, Represa, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972931335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 21676 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Dominguez, Po Box 290066, Represa, CA 95671-0066 Ph: (916) 985-8610 | Jennifer Dominguez, 100 Prison Rd, Represa, CA 95671-0066 Ph: (916) 985-8610 |
Ms. Susan Donell Raybourn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Prison Rd, Represa, CA 95671 Phone: 916-985-8610 | |
Ms. Violka Wanie, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Prison Rd, Represa, CA 95671 Phone: 916-985-8610 | |
Regina White, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Csp Sacramento Mhsds Regina White, 100 Prison Road, Represa, CA 95671 Phone: 916-985-8610 | |
Mrs. Valerie Jean Pearson-bryant, MSW, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Prison Rd, Represa, CA 95671 Phone: 916-985-8610 | |
Miss Daniela Coppin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Prison Rd, Represa, CA 95671 Phone: 916-986-8610 | |
Ms. Jamie Costello Kenwood, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Prison Rd, California State Prison Sacramento, Represa, CA 95670 Phone: 916-324-6317 Fax: 916-294-3195 | |
Mr. George Gordon Mitchell Ii, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Prison Rd, Represa, CA 95671 Phone: 916-985-8610 |