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Dominique Pickett, CCMA
NPI 1114316924 · on the registry since 2015
Practice
- Address
- 2939 Russell St
Detroit, MI 48207 - Phone
- (313) 369-3500
- Fax
- (313) 567-1876
- Organisation at this address
- Team Wellness Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 28
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Also registered as
- 376K00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-01-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan