| Sara Dominicus, Lcsw Pllc | |
|
778 Roosevelt Trl Ste 2b Windham ME 04062-5376 | |
| (207) 310-1230 | |
| Not Available |
| Full Name | Sara Dominicus, Lcsw Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 778 Roosevelt Trl Ste 2b, Windham, Maine |
| Authorized Official Name and Position | Sara Dominicus (OWNER) |
| Authorized Official Contact | 2073101230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sara Dominicus, Lcsw Pllc 23 Shannons Way Standish ME 04084-5270 Ph: () - | Sara Dominicus, Lcsw Pllc 778 Roosevelt Trl Ste 2b Windham ME 04062-5376 Ph: (207) 310-1230 |
| NPI Number | 1407669120 |
|---|---|
| Provider Enumeration Date | 01/28/2025 |
| Last Update Date | 01/28/2025 |
| Certification Date | 01/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407669120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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