DR. Domonicque Tatum, EDD, LCSW

NPI #1629593173 in Markham, Illinois

Provider Information

NPI Number
1629593173
Entity Type
Individual
Name
DR. Domonicque Tatum, EDD, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
EDD, LCSW
Enumeration Date
Aug 6, 2017
Last Updated
Jul 21, 2022

Practice Location

Address
16300 KEDZIE AVE
ZIP Code
60428-5508
Phone
(571) 282-5193

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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