Dominique Lacee Clark, LLBSW

NPI #1578180345 in Inkster, Michigan

Provider Information

NPI Number: 1578180345
Entity Type: Individual
Name: Dominique Lacee Clark, LLBSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LLBSW
Enumeration Date: Jun 28, 2020
Last Updated: Jun 28, 2020

Practice Location

Address: 26429 MICHIGAN AVE
City: Inkster
State: Michigan
ZIP Code: 48141-2464
Phone: (734) 713-9292

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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