Individual
ALEXIS DIDOMENICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COUNSELOR
Contact information
Practice address
136 AMICUS DR, PORT MATILDA, PA 16870-7018
(412) 849-3467
Mailing address
136 AMICUS DR, PORT MATILDA, PA 16870-7018
(412) 849-3467
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
885018
PA
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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