Carolyn Domont, LCSW

NPI #1972240802 in Manteno, Illinois

Provider Information

NPI Number: 1972240802
Entity Type: Individual
Name: Carolyn Domont, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: May 12, 2022
Last Updated: May 12, 2022

Practice Location

Address: 1 VETERANS DR
City: Manteno
State: Illinois
ZIP Code: 60950-9466
Phone: (815) 907-3540

Specialties & Taxonomy Codes

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

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