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EUGENE DOMENICO, PHD LCSW

PHD LCSW

Mental Health Counselor

NPI: 1679608103Individual

Specialties, Licenses & Credentials

Mental Health CounselorPrimary

Counselor — Mental Health

Code: 101YM0800X

034738-1(NY)
Clinical Social Worker

Social Worker — Clinical

Code: 1041C0700X

034738-1(NY)
Psychologist

Psychologist

Code: 103T00000X

034738-1(NY)

Contact & Hours

Address
MARKET STREET, BEWLEY BUILDING SUITE #437
LOCKPORT, NY 14094

Quick Facts

NPI
1679608103
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
3
Locations
1

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