Domecq, Marcia
Domecq, Marcia is an individual health care provider with primary practice located at 3500 Tower Ave Essentia Health St, Mary'S-Superior Clinic, Superior WI 54880-4491. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Domecq, Marcia can be contacted via phone (715) 817-7100.Contact Information
Primary practice address
3500 Tower Ave Essentia Health St, Mary'S-Superior Clinic
Superior WI 54880-4491
Phone: (715) 817-7100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 3965-123 | Wisconsin |
Profile Details
| NPI number | 1649445669 |
|---|---|
| LBN Legal business name | Domecq, Marcia |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 30th, 2008 |
| Last updated | Dec 2nd, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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