Individual
CHELSEA DOMANICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17145 W BLUEMOUND RD STE J-290, BROOKFIELD, WI 53005-5947
(414) 651-9140
Mailing address
17145 W BLUEMOUND RD STE J-290, BROOKFIELD, WI 53005-5947
(414) 651-9140
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/03/2017
Last updated
09/28/2023
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