Individual
DOMINIQUE MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLBSW
Contact information
Practice address
9641 HARPER AVE, DETROIT, MI 48213-2731
(313) 875-7601
Mailing address
9641 HARPER AVE, DETROIT, MI 48213-2731
(313) 875-7601
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802088207
MI
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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