Individual
MARY KATHERINE A DOMBROSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
301 E DANNA AVE, WASILLA, AK 99654-6422
(907) 357-7519
Mailing address
301 E DANNA AVE, WASILLA, AK 99654-6422
(907) 357-7519
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH3237
—
AK
Enumeration date
12/19/2013
Last updated
12/19/2013
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