Individual
MRS. DOMINIQUE MARCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
691 JOHN WESLEY DOBBS AVE NE STE V146, ATLANTA, GA 30312-1690
(912) 430-7880
Mailing address
691 JOHN WESLEY DOBBS AVE NE STE V146, ATLANTA, GA 30312-1690
(912) 430-7880
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
088694
NY
1041C0700X
Clinical Social Worker
Primary
CSW007261
GA
Other
Enumeration date
12/16/2020
Last updated
12/09/2023
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