DEBRA MARIE DOMINCZAK

MENASHA, WI
NPI1821337601
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WI  1440-226)
Enumeration Date2013-02-13
Last Update Date2013-02-13
Business Address
Mrs. DEBRA MARIE DOMINCZAK LPC IT
1478 KENWOOD DR STE 1
MENASHA, WI 54952-1161
Phone number: 920-886-9319
Mailing Address
Mrs. DEBRA MARIE DOMINCZAK LPC IT
N6781 HARRISON RD
HILBERT, WI 54129-9262
Phone number: 920-989-2370