RICHARD JOHN DOMENICO

BOSTON, MA
NPI1306915061
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  1027486)
Enumeration Date2006-11-07
Last Update Date2007-07-08
Business Address
Mr. RICHARD JOHN DOMENICO LICSW
607 BOYLSTON ST FL 2
BOSTON, MA 02116-3604
Phone number: 617-266-2266
Mailing Address
Mr. RICHARD JOHN DOMENICO LICSW
607 BOYLSTON ST FL 2
BOSTON, MA 02116-3604
Phone number: 617-266-2266