Most Relevant Information
Provider Data
| NPI Number: | 1003511346 |
| Provider Name: | DOMINIQUE L TOWNS MSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/04/2023 |
| Last Updated: | 04/04/2023 |
Provider Practice Location
36088 W SAN CLEMENTE AVE
MARICOPA
AZ
851382117
Practice Location Phone/Fax
| Phone: | 4147315267 |
| Fax: |
Provider Mailing Location
36088 W SAN CLEMENTE AVE
MARICOPA
AZ
851382117
Provider Mailing Phone/Fax
| Phone: | 4147315267 |
| Fax: |