Individual
DOMONIQUE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSA
Contact information
Practice address
3569 RIDGE RD, CLEVELAND, OH 44102-5443
(216) 281-0872
Mailing address
336 W WOOD ST, LOWELLVILLE, OH 44436-1040
(330) 423-9002
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.1802424
OH
1041C0700X
Clinical Social Worker
Primary
I.2203815
OH
Other
Enumeration date
11/13/2018
Last updated
11/02/2023
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