Danielle Bovee Domzalski | Howell, MI • PECOS Search

Danielle Bovee Domzalski

Social Worker

Behavioral Health & Social Service Providers

622 E Grand River Ave, Howell, MI 48843-2329

PECOS Enrollment

Based on the most recent information from CMS, provider Danielle Bovee Domzalski does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1871856153
Provider Type
Individual
Full Name
Domzalski, Danielle Bovee
Title
Mrs.
Credential
LLBSW, QMRP

Gender
Female
Sole Proprietor
No
Enumeration Date
6/21/2012
Last Updated
12/9/2013

Contact Information

Practice Location

622 E Grand River Ave, Howell, MI 48843-2329

Unlisted Fax

Mailing Location

622 E Grand River Ave, Howell, MI 48843-2329

(517) 546-1300

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 6802087318 Michigan