Individual
HILLARY S DOMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4200 MONUMENT RD, PHILA, PA 19131-1625
(215) 877-2000
(215) 581-9195
Mailing address
4200 MONUMENT RD, PHILA, PA 19131-1625
(215) 877-2000
(215) 581-9195
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
44SC04796100
NJ
1041C0700X
Clinical Social Worker
Primary
SW0077590L
PA
Other
Enumeration date
07/29/2006
Last updated
11/24/2008
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