| Candice Leann Dominguez, | |
| 
					40936 E County Road 1230, Keota, OK 74941-6439  | |
| (918) 471-8936 | |
| Not Available | 
| Full Name | Candice Leann Dominguez | 
|---|---|
| Gender | Female | 
| Speciality | Counselor | 
| Location | 40936 E County Road 1230, Keota, Oklahoma | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1023362142 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101Y00000X | Counselor | 1-14-12 (Oklahoma) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Candice Leann Dominguez, 40936 E County Road 1230, Keota, OK 74941-6439 Ph: (918) 471-8936  | Candice Leann Dominguez, 40936 E County Road 1230, Keota, OK 74941-6439 Ph: (918) 471-8936  | 
Mary Elizabeth Quirk,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 20227 N County Road 4545 Unit A, Keota, OK 74941 Phone: 918-471-3223  | |
Marcia Lynn Parker,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 14900 J St, Keota, OK 74941 Phone: 918-966-3246  | |
Vicki Gilstrap,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 40178 S Cr 4550 Rd., Keota, OK 74941 Phone: 918-966-3731  | |
Mrs. Amy Beth Adams, M.E. Counselor Medicare: Not Enrolled in Medicare Practice Location: 21578 E County Road 1175, Keota, OK 74941 Phone: 918-647-7613  |