MATTHEW DAVID DOMICO

PEORIA, IL
NPI1790999191
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149013431)
Enumeration Date2007-05-09
Last Update Date2025-04-29
Business Address
Mr. MATTHEW DAVID DOMICO MSW, LCSW
5901 N PROSPECT RD
PEORIA, IL 61614-4358
Phone number: 815-701-6317
Mailing Address
Mr. MATTHEW DAVID DOMICO MSW, LCSW
34 PHELPS AVE
ROMEOVILLE, IL 60446-1388
Phone number: