Dominique Squire's National Provider Identifier (NPI) Details
Dominique Squire, LCSW
NPI: 1174125322
Enumeration Date: 2020-11-12
Last updated: 2024-05-22
Sole Proprietor: YES
Status: active
Postal Address: 575 S SQUARE DR APT 103, WINTERVILLE, NC
Phone: 919-423-7483
Primary Practice Address: 575 S SQUARE DR APT 103, WINTERVILLE, NC
Practice's phone: 919-423-7483