Individual
DOMINIQUE EUNICE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLC
Contact information
Practice address
8150 OLD 13 MILE RD, WARREN, MI 48093-8700
(800) 395-3223
Mailing address
26545 AMERICAN DR, SOUTHFIELD, MI 48034-6115
(800) 395-3223
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451024307
MI
Other
Enumeration date
10/18/2021
Last updated
08/05/2025
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