Individual
DOMINIQUE PASHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1 HERITAGE PLACE SUITE 520, SOUTHGATE, MI 48195
(313) 909-0696
Mailing address
245 CAMPBELL ST, RIVER ROUGE, MI 48218-1008
(313) 909-0696
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801119476
MI
1041C0700X
Clinical Social Worker
6851115725
MI
Other
Enumeration date
02/20/2023
Last updated
11/04/2025
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