SearchIllinoisClinical Social Worker

Domonicque Tatum, EDD, LCSW

NPI 1629593173 · on the registry since 2017 · sole proprietor

Practice

Address
16300 Kedzie Ave
Markham, IL 60428
Phone
(571) 282-5193

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-21

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 Illinois