Search › Michigan › 1041C0700X
Domonique Stevens, LMSW
NPI 1972060895 · on the registry since 2019
Practice
- Address
- 790 Fuller Ave Ne
Grand Rapids, MI 49503 - Phone
- (616) 336-3909
- Fax
- (616) 336-8830
- Organisation at this address
- Kent County Cmh Authority
Kent County Cmh Authority
Kent County Cmh Authority
Kent County Cmh Authority
Kent County Cmh AuthorityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 392
Additional practice sites
- 717 N Center Dr Nw, Walker, MI
- 805 Leonard St Ne, Grand Rapids, MI
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
104100000X
104100000X
106S00000X
171M00000X - Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-12-31
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