-- STEPHEN WARD DOMINICK -- MSW, LCSW
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1962604215- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MSW, LCSW
- Status
- Active
Contact & Location
- Address
- 1735 SHERIDAN AVE SUITE 230, CODY, WY, 824143855
- Phone
- (307) 587-8439
- Fax
- (307) 587-8439
Specialties & Taxonomies
Social Worker, Clinical
Primary License: WY #LCSW-187