Individual
MR. DOMINIC JOHN CAPUTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3010 GRAND AVE, FIRST FLOOR, WAUKEGAN, IL 60085-2321
(847) 377-8972
(847) 377-8803
Mailing address
3010 GRAND AVE, FIRST FLOOR, WAUKEGAN, IL 60085-2321
(847) 377-8972
(847) 377-8803
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149008473
IL
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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