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Contact Information

MERYL G DOMINA, LCSW, PH.D.
14 HEALTH SERVICES DRIVE
DEKALB, IL60115
 Phone: 815-758-8616
 Fax: 815-758-7569
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for MERYL G DOMINA · (Female)

NPI Number 1023394202
Status Active
Credentials LCSW, PH.D.
Entity Individual
Enumeration date 11/01/2011
Last updated 11/01/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 150-003461
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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