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Organization
WHOLEISTIC YOU PLLC
Active
Organization
WHOLEISTIC YOU PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIKA DOMKE LMSW (OWNER)
(734) 968-3549
Entity
Organization
Contact information
Practice address
15223 FARMINGTON RD, LIVONIA, MI 48154-5411
(734) 377-3589
Mailing address
31741 CAMBRIDGE ST, LIVONIA, MI 48154-3139
(734) 968-3549
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801091472
STATE LICENSE LMSW
MI
Enumeration date
08/21/2019
Last updated
12/03/2019
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