DOMINIQUE TALLEY

Social Worker - Clinical

Active Individual
NPI: 1437622420

Practice Address

5342 DUDLEY BLVD
Mcclellan, CA 95652

Phone: (916) 584-4609

Specialties

Specialty Code Primary License
Social Worker 104100000X No -
Social Worker - Clinical 1041C0700X Yes -

Frequently Asked Questions

NPI 1437622420 is the National Provider Identifier for DOMINIQUE TALLEY, a Social Worker - Clinical provider located in Mcclellan, CA. This NPI was enumerated on January 2, 2019.
DOMINIQUE TALLEY practices at 5342 DUDLEY BLVD, Mcclellan, CA 95652.

Quick Facts

NPI
1437622420
Type
Individual
Enumerated
Jan 2, 2019
Last Updated
Jan 2, 2019

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