Individual
MRS. CAROLINE DOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
1748 HERITAGE CENTER DR STE 101, WAKE FOREST, NC 27587-9855
(919) 529-5920
Mailing address
2005 LONGMONT DR, WAKE FOREST, NC 27587-5909
(919) 609-9638
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
20510A
NC
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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