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 Date2025-08-31
Business Address
Mr. MATTHEW DAVID DOMICO MSW, LCSW
712 E WAR MEMORIAL DR
PEORIA, IL 61616-7548
Phone number: 815-701-6317
Mailing Address
Mr. MATTHEW DAVID DOMICO MSW, LCSW
5901 N PROSPECT RD STE 105
PEORIA, IL 61614-4358
Phone number: 815-701-6317
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