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
Phone: (248) 514-4955
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 last year |
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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