Stephen Ward Dominick, MSW, LCSW

NPI #1962604215 in Cody, Wyoming

Provider Information

NPI Number: 1962604215
Entity Type: Individual
Name: Stephen Ward Dominick, MSW, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: MSW, LCSW
Enumeration Date: May 31, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1735 SHERIDAN AVE
Address 2: SUITE 230
City: Cody
State: Wyoming
ZIP Code: 82414-3855
Phone: (307) 587-8439

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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