Willock, Dominique
Willock, Dominique is an sole proprietor health care provider with primary practice located at 1624 Bennett Dr , Mcdonough GA 30253-9010. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Willock, Dominique can be contacted via phone (516) 808-0591.Contact Information
Primary practice address
1624 Bennett Dr
Mcdonough GA 30253-9010
Phone: (516) 808-0591
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1053073189 |
|---|---|
| LBN Legal business name | Willock, Dominique |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2021 |
| Last updated | Oct 6th, 2021 - 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.
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