Organization
SARA DOMINICUS, LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA DOMINICUS LCSW (OWNER)
(207) 310-1230
Entity
Organization
Contact information
Practice address
778 ROOSEVELT TRL STE 2B, WINDHAM, ME 04062-5376
(207) 310-1230
Mailing address
23 SHANNONS WAY, STANDISH, ME 04084-5270
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/28/2025
Last updated
02/11/2025
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