Individual
DOMINIC REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30101 HOOVER RD, WARREN, MI 48093-6572
(586) 558-6868
Mailing address
23300 GROVE ST, SAINT CLAIR SHORES, MI 48080-1106
(517) 914-7473
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451022878
MI
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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