| Dominique Larissa Keranen, LLMSW | |
|
611 N State St, Stanton, MI 48888-9702 | |
| (989) 831-7672 | |
| (989) 831-7578 |
| Full Name | Dominique Larissa Keranen |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 611 N State St, Stanton, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619587060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801107565 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dominique Larissa Keranen, LLMSW 611 N State St, Stanton, MI 48888-9702 Ph: (989) 831-7672 | Dominique Larissa Keranen, LLMSW 611 N State St, Stanton, MI 48888-9702 Ph: (989) 831-7672 |
Jennifer Marie Bauer, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 611 N State St, Stanton, MI 48888 Phone: 989-831-7520 Fax: 989-831-7578 | |
Julianna Marie Kozara, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 611 N State St, Stanton, MI 48888 Phone: 989-831-7520 Fax: 989-831-7578 | |
Allyssa Nicole Martineau, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 611 N State St, Stanton, MI 48888 Phone: 989-831-7620 Fax: 989-831-7578 | |
Aubrie Thornton, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 611 N State St, Stanton, MI 48888 Phone: 989-831-7520 | |
Linda Marie Norkey, LPC, CAAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 611 N State St, Stanton, MI 48888 Phone: 989-831-7520 Fax: 989-831-7578 | |
Amanda Marie Hartman, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 611 N State St, Stanton, MI 48888 Phone: 989-831-7520 Fax: 989-831-7578 | |
Tanya Douglas, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 611 N State St, Stanton, MI 48888 Phone: 989-831-7520 Fax: 989-831-7578 |