Fragoso, Dominique Anne Marie

Fragoso, Dominique Anne Marie is an sole proprietor health care provider with primary practice located at 215 W Madison Ave , El Cajon CA 92020-3405. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Fragoso, Dominique Anne Marie can be contacted via phone (619) 401-6236.

Contact Information

Primary practice address
215 W Madison Ave El Cajon CA 92020-3405
Phone: (619) 401-6236
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X 12601 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 12601 California

Profile Details

NPI number 1518521830
LBN Legal business name Fragoso, Dominique Anne Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2019
Last updated Apr 23rd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers