Individual
JORDAN DOMICOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 11TH ST NW, WASHINGTON, DC 20001-3923
(518) 937-8357
Mailing address
1735 T ST NW APT 1/2, WASHINGTON, DC 20009-7102
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
DC1587719034
DC
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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