DOMINIQUE SMITH

DETROIT, MI
NPI1013682541
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: MI  6852090349)
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2021-08-16
Last Update Date2024-06-04
Business Address
DOMINIQUE SMITH
6309 MACK AVE
DETROIT, MI 48207-2302
Phone number: 313-331-3435
Mailing Address
DOMINIQUE SMITH
6309 MACK AVE
DETROIT, MI 48207-2302
Phone number: 313-331-3435