Provider Demographics
NPI:1366867699
Name:DOMBROWSKI, MICHELE (LMSW)
Entity Type:Individual
Prefix:MS
First Name:MICHELE
Middle Name:
Last Name:DOMBROWSKI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6435 COLONIAL ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-2110
Mailing Address - Country:US
Mailing Address - Phone:313-402-9999
Mailing Address - Fax:313-831-9139
Practice Address - Street 1:19855 OUTER DR
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-2022
Practice Address - Country:US
Practice Address - Phone:313-274-5840
Practice Address - Fax:313-831-9139
Is Sole Proprietor?:No
Enumeration Date:2014-02-24
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical