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Dominique Atencio, BA

Case Manager/Care Coordinator in Lexington, KY. Individual provider (NPI-1).

NPI number1447614342
StatusActive
Last updated in NPPESApr 7, 2016

Details

NPI
1447614342
Entity type
Individual (NPI-1)
Name
Dominique Atencio
Credential
BA
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 7, 2016
Last updated
Apr 7, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

201 Mechanic St
Lexington, KY 40507-1086

Phone 859-272-7483 · Fax 859-272-9685

Mailing address

201 Mechanic St
Lexington, KY 40507-1086

Phone 859-272-7483 · Fax 859-272-9685

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