MRS. MARY DOMINO, LCSW-C

Social Worker - Clinical

Active Individual
NPI: 1760666424

Practice Address

120 BANJO LANE
Centreville, MD 21617

Phone: (410) 758-3050

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 10791 (MD)

Frequently Asked Questions

NPI 1760666424 is the National Provider Identifier for MRS. MARY DOMINO, LCSW-C, a Social Worker - Clinical provider located in Centreville, MD. This NPI was enumerated on December 18, 2007.
MRS. MARY DOMINO, LCSW-C practices at 120 BANJO LANE, Centreville, MD 21617.

Quick Facts

NPI
1760666424
Type
Individual
Enumerated
Dec 18, 2007
Last Updated
Oct 4, 2023

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