Individual
MAIAH CLAIRE DOMASK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC-IT
Contact information
Practice address
N91W17194 APPLETON AVE STE 204, MENOMONEE FALLS, WI 53051-2083
(414) 209-4007
Mailing address
104 E MASON ST UNIT 507, MILWAUKEE, WI 53202-3573
(920) 210-3975
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
WI
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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