MR. Dominic Idoko, MA
NPI #1023131083 in Southbridge, Massachusetts
Provider Information
- NPI Number
- 1023131083
- Entity Type
- Individual
- Name
- MR. Dominic Idoko, MA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- MA
- Enumeration Date
- Apr 6, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 100 SOUTH ST
- City
- Southbridge
- State
- Massachusetts
- ZIP Code
- 01550-4051
- Phone
- (508) 765-9771
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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