CARRIE DOMINICZAK

GREEN BAY, WI
NPI1871075630
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  18489-130)
Enumeration Date2018-08-29
Last Update Date2018-08-29
Business Address
Miss CARRIE DOMINICZAK SACIT
2357 W MASON ST
GREEN BAY, WI 54303-4708
Phone number: 920-337-6740
Mailing Address
Miss CARRIE DOMINICZAK SACIT
2357 W MASON ST
GREEN BAY, WI 54303-4708
Phone number: 920-337-6740
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