Kelly Dominic, Imft LLC

NPI #1811698657 in Amanda, Ohio

Provider Information

NPI Number
1811698657
Entity Type
Organization
Organization Name
Kelly Dominic, Imft LLC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Mar 16, 2023
Last Updated
Mar 16, 2023

Practice Location

Address
10955 CLEARPORT RD SW
City
Amanda
State
Ohio
ZIP Code
43102-9612
Phone
(330) 730-9511

Authorized Official

Name
KELLY M DOMINIC, LMFT
Title
MARRIAGE AND FAMILY THERAPIST OWNER
Phone
(330) 730-9511

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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