Individual
MS. ERIN MARGARET DOMZALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
1664 STEFANIE LN, BOURBONNAIS, IL 60914-9646
(815) 953-6163
Mailing address
1664 STEFANIE LN, BOURBONNAIS, IL 60914-9646
(815) 953-6163
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/23/2008
Last updated
08/23/2008
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