SANDRA ELIZABETH DOMICO

EVANSTON, IL
NPI1306399944
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.018069)
Enumeration Date2016-08-01
Last Update Date2016-08-01
Business Address
Ms. SANDRA ELIZABETH DOMICO LCSW
355 RIDGE AVE 2ND FLOOR
EVANSTON, IL 60202-3328
Phone number: 847-316-6262
Mailing Address
Ms. SANDRA ELIZABETH DOMICO LCSW
1623 W FARGO AVE 1
CHICAGO, IL 60626-1771
Phone number: 773-597-5187
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