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1669042164
DOMINIQUE JACKSON
STERLING HEIGHTS, MI
NPI
1669042164
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801106928)
Enumeration Date
2021-06-28
Last Update Date
2021-06-28
Business Address
DOMINIQUE JACKSON LCSW
43847 RUSHCLIFFE DR
STERLING HEIGHTS, MI 48313-1197
Phone number: 586-610-5990
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Mailing Address
DOMINIQUE JACKSON LCSW
43847 RUSHCLIFFE DR
STERLING HEIGHTS, MI 48313-1197
Phone number: 586-610-5990
Copy
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