Individual
MS. JACQUELINE EDWINA DOMBROWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, CMT
Contact information
Practice address
300 COTTONWOOD AVE STE 4, HARTLAND, WI 53029-2043
(414) 405-2486
(262) 367-3828
Mailing address
18705 BROOKRIDGE DR, BROOKFIELD, WI 53045-1029
(262) 781-5333
(262) 781-6603
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7122-123
WI
1041C0700X
Clinical Social Worker
Primary
7122-123
WI
Other
Enumeration date
09/21/2007
Last updated
09/21/2007
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