MATT DOMICO LCSW LLC

Clinic/Center - Adult Mental Health

Active Organization
NPI: 1962294629

Practice Address

5901 N PROSPECT RD STE 105
Peoria, IL 61614

Phone: (815) 701-6317

Specialties

Specialty Code Primary License
Clinic/Center - Adult Mental Health 261QM0850X Yes -

Frequently Asked Questions

NPI 1962294629 is the National Provider Identifier for MATT DOMICO LCSW LLC, a Clinic/Center - Adult Mental Health provider located in Peoria, IL. This NPI was enumerated on May 20, 2025.

Quick Facts

NPI
1962294629
Type
Organization
Enumerated
May 20, 2025
Last Updated
May 20, 2025

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