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MS. ANITA L. DOMSKY BS, MFT

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1265514699

Individual Registrant:
MS. ANITA L. DOMSKY BS, MFT
Gender: F
Sole Proprietor

Location and contact information for practice:
222B FORE RD  ELIOT, ME 03903-1365 US
Tel: 207-351-5719  Fax: --

Contact information for business:
PO BOX 555  YORK BEACH, ME 03910-0555 US
Tel: 207-351-5719  Fax: --

Registration Information:
NPI: 1265514699
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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