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Contact Information

DOMINIQUE N BLEDSOE
9975 W OUTER DRIVE
DETROIT, MI48223
 Phone: 313-329-8826
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for DOMINIQUE N BLEDSOE · (Female)

NPI Number 1114895687
Status Active
Credentials
Entity Individual
Enumeration date 10/27/2025
Last updated 10/27/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • MI License # M610149636334
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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