Idrialys Mariana Matos Dominici

NPI #1013802933 in Cambridge, Massachusetts

Provider Information

NPI Number: 1013802933
Entity Type: Individual
Name: Idrialys Mariana Matos Dominici
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Jun 11, 2025
Last Updated: Jun 11, 2025

Practice Location

Address: 1493 CAMBRIDGE ST
City: Cambridge
State: Massachusetts
ZIP Code: 02139-1099
Phone: (617) 665-1185

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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