Anderson, Domonique Gabrielle

Anderson, Domonique Gabrielle is an sole proprietor health care provider with primary practice located at 1603 E 9 Mile Rd , Ferndale MI 48220-2065. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Anderson, Domonique Gabrielle can be contacted via phone (248) 514-4955.

Contact Information

Primary practice address
1603 E 9 Mile Rd Ferndale MI 48220-2065
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6362009770 Michigan

Profile Details

NPI number 1356124267
LBN Legal business name Anderson, Domonique Gabrielle
Credentials MA TLLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2023
Last updated Mar 18th, 2024 - about 6 months 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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