Individual
DOMONIQUE LENAE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
34441 8 MILE RD STE 116, LIVONIA, MI 48152-4013
(810) 302-4777
Mailing address
42135 JOYCE LN, NOVI, MI 48377-2842
(248) 779-5763
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851116730
MI
Other
Enumeration date
05/18/2023
Last updated
05/12/2025
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