| Elizabeth Domack Llc | |
|
57 Plains Rd Ste 3c Milford CT 06461-2573 | |
| (860) 309-8334 | |
| Not Available |
| Full Name | Elizabeth Domack Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 57 Plains Rd Ste 3c, Milford, Connecticut |
| Authorized Official Name and Position | Elizabeth Domack (OWNER) |
| Authorized Official Contact | 8603098334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Domack Llc 18 Rimmon Rd Woodbridge CT 06525-2002 Ph: () - | Elizabeth Domack Llc 57 Plains Rd Ste 3c Milford CT 06461-2573 Ph: (860) 309-8334 |
| NPI Number | 1013558022 |
|---|---|
| Provider Enumeration Date | 10/01/2019 |
| Last Update Date | 10/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013558022 | NPI | - | NPPES |
| 1225405152 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
News Archive
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