Individual
MRS. ELAINE ELLEN DOMBROWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
384 W MAIN RD, CONNEAUT, OH 44030-2046
(440) 228-0506
Mailing address
384 W MAIN RD, CONNEAUT, OH 44030-2046
(440) 228-0506
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S. 0010249
OH
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
S.0010249
OH
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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