Squire, Dominique Latrece
Squire, Dominique Latrece is an sole proprietor health care provider with primary practice located at 575 S Square Dr Apt 103 , Winterville NC 28590-8699. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Squire, Dominique Latrece can be contacted via phone (919) 423-7483.Contact Information
Primary practice address
575 S Square Dr Apt 103
Winterville NC 28590-8699
Phone: (919) 423-7483
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C017135 | North Carolina |
Profile Details
| NPI number | 1174125322 |
|---|---|
| LBN Legal business name | Squire, Dominique Latrece |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 12th, 2020 |
| Last updated | May 22nd, 2024 - about last year |
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.
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