Meryl Greer Domina LCSW, PH.D.

NPI 1023394202 - Social Worker - 1041C0700X

NPI Details
NPI 1023394202
Gender Female
Enumeration Date 11/01/2011
Last Updated 11/01/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
14 HEALTH SERVICES DRIVE
DEKALB IL, 60115, US
Phone (815) 758-8616
Fax (815) 758-7569
Business Location
1121 LOREN DR
DEKALB IL, 60115-2102, US
Phone (815) 758-4827
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Illinois
License Number 150-003461
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According to our database, Prof. Meryl Greer Domina LCSW, PH.D. NPI is 1023394202, taxonomy code is 1041C0700X and license number is 150-003461, license state is located at Illinois. Meryl Greer Domina LCSW, PH.D. physically located at 14 Health Services Drive, Dekalb IL, 60115. NPI Number Meryl Greer Domina LCSW, PH.D. has the Individual type.

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1023394202 NPI number is provided on an as is basis without warranty of any kind. 1023394202 is maintained by the National Plan & Provider Enumeration System. The contents of Meryl Greer Domina LCSW, PH.D. are for informational purposes only.