DOMINIQUE LACEE CLARK

INKSTER, MI
NPI1578180345
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6802089622)
Enumeration Date2020-06-28
Last Update Date2020-06-28
Business Address
DOMINIQUE LACEE CLARK LLBSW
26429 MICHIGAN AVE
INKSTER, MI 48141-2464
Phone number: 734-713-9292
Mailing Address
DOMINIQUE LACEE CLARK LLBSW
29719 HIVELEY ST
INKSTER, MI 48141-3411
Phone number: 734-628-2027
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