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1821337601
DEBRA MARIE DOMINCZAK
MENASHA, WI
NPI
1821337601
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WI 1440-226)
Enumeration Date
2013-02-13
Last Update Date
2013-02-13
Business Address
Mrs. DEBRA MARIE DOMINCZAK LPC IT
1478 KENWOOD DR STE 1
MENASHA, WI 54952-1161
Phone number: 920-886-9319
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Mailing Address
Mrs. DEBRA MARIE DOMINCZAK LPC IT
N6781 HARRISON RD
HILBERT, WI 54129-9262
Phone number: 920-989-2370
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