Carlo Tadeo Domingo, LMSW
Social Worker, Clinical in East Point, GA. Individual provider (NPI-1).
NPI number1720107188
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720107188
- Entity type
- Individual (NPI-1)
- Name
- Mr. Carlo Tadeo Domingo
- Credential
- LMSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | MSW004235 | GA | Yes |
Practice location
1513 Cleveland AveBuilding 300
East Point, GA 30344-6947
Phone 404-321-6111
Mailing address
323 Windmont Dr NeAtlanta, GA 30329-1023
Phone 404-327-8709
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