Patricia Domine, LCSW
Social Worker, Clinical in San Antonio, TX. Individual provider (NPI-1).
NPI number1013143361
StatusActive
Last updated in NPPESFeb 24, 2020
Details
- NPI
- 1013143361
- Entity type
- Individual (NPI-1)
- Name
- Ms. Patricia Domine
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 1, 2009
- Certification date
- Feb 24, 2020
- Last updated
- Feb 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 50095 | TX | Yes |
Practice location
8026 Floyd Curl DrSan Antonio, TX 78229-3915
Phone 210-575-8096
Mailing address
8026 Floyd Curl DrSan Antonio, TX 78229-3915
Phone 210-575-8096
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