| Stephanie Dorsey Licensed Clinical Social Worker Pc | |
|
111 Main St Unit 37 San Andreas CA 95249-9332 | |
| (209) 297-1911 | |
| Not Available |
| Full Name | Stephanie Dorsey Licensed Clinical Social Worker Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 111 Main St Unit 37, San Andreas, California |
| Authorized Official Name and Position | Stephanie Dorsey (OWNER) |
| Authorized Official Contact | 2092971911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Dorsey Licensed Clinical Social Worker Pc Po Box 1113 San Andreas CA 95249-1113 Ph: (209) 297-1911 | Stephanie Dorsey Licensed Clinical Social Worker Pc 111 Main St Unit 37 San Andreas CA 95249-9332 Ph: (209) 297-1911 |
| NPI Number | 1366336117 |
|---|---|
| Provider Enumeration Date | 06/05/2025 |
| Last Update Date | 06/05/2025 |
| Certification Date | 06/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366336117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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