DOMINIQUE BALDERAS

WAUKESHA, WI
NPI1245984996
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  19426)
Enumeration Date2022-02-10
Last Update Date2022-02-10
Business Address
DOMINIQUE BALDERAS SAC-IT
255 W BROADWAY
WAUKESHA, WI 53186-4832
Phone number: 262-420-9088
Mailing Address
DOMINIQUE BALDERAS SAC-IT
255 W BROADWAY
WAUKESHA, WI 53186-4832
Phone number: 262-420-9088
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