KELLY NICOLE DOMINGUEZ Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149015368

License Status

ACTIVE

Business

First Name

KELLY

Middle

NICOLE

Last Name

DOMINGUEZ

Business Name

KELLY NICOLE DOMINGUEZ

Original Issue Date

07/11/2012

Effective Date

10/13/2025

Expiration Date

11/30/2027

City

YPSILANTI

State

Zip

48198

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/13/2025