Most Relevant Information
Provider Data
| NPI Number: | 1003458183 |
| Provider Name: | RAQUEL DOMINGUEZ MSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | NLC0110365 |
Most Important Dates
| Enumeration Date: | 10/10/2019 |
| Last Updated: | 03/03/2021 |
Provider Practice Location
5373 N UNION BLVD STE 103
COLORADO SPRINGS
CO
809182073
Practice Location Phone/Fax
| Phone: | 7196446131 |
| Fax: |
Provider Mailing Location
5373 N UNION BLVD STE 203
COLORADO SPRINGS
CO
809182073
Provider Mailing Phone/Fax
| Phone: | 7106446131 |
| Fax: |