RICHARD GIRARD-DOMENA, LCSW
Social Work at Country Rd, Head Of The Harbor, NY

License number
New York 115618
Category
Social Work
Type
Clinical
License number
New York 078941
Category
Social Work
Type
Clinical
Address
Address 2
551 N Country Rd STE 203, Head Of The Harbor, NY 11780
PO Box 150, South Setauket, NY 11720
Phone
(631) 504-2102
(631) 686-5807 (Fax)
National Provider ID: 1326369257
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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