Individual
MS. BARBARA DOMINIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
165 OLD KINGS HIGHWAY, ORLEANS, MA 02653
(508) 247-9506
Mailing address
250 S EASTHAM ST, EASTHAM, MA 02642-2656
(508) 247-9506
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904002192
VA
1041C0700X
Clinical Social Worker
Primary
108023
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P08373
BLUE CROSS OF MA
MA
Enumeration date
08/20/2006
Last updated
07/08/2007
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