Individual
DOMINIQUE PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2111 UNIVERSITY PARK DR STE 400, OKEMOS, MI 48864-6907
(517) 798-4944
Mailing address
PO BOX 10, MASON, MI 48854-0010
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801099822
MI
Other
Enumeration date
07/20/2016
Last updated
03/12/2021
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