THERESA DOMENICHELLO, LCSW

LCSW

Social Worker

NPI: 1427646074Individual

Specialties, Licenses & Credentials

Social WorkerPrimary

Social Worker

Code: 104100000X

106018(NY)

Contact & Hours

Address: 646 MAIN ST STE 206
PORT JEFF STA, NY 11777
Phone: (631) 213-9377

Quick Facts

NPI: 1427646074
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

Are you this provider?

Claim Your Profile