Individual
DOMINIQUE MARIE BUFFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 HAZEN ST STE C, PAW PAW, MI 49079-2008
(845) 245-8522
Mailing address
4407 CLAYBORNE DR APT 302, KALAMAZOO, MI 49009-2751
(845) 245-8522
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851118637
MI
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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