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DORE MANN
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1669874327
Individual Registrant: DORE MANN
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
4747 46TH ST APT 1F WOODSIDE, NY 11377-6544 US
Tel: 347-843-3692 Fax: --
Tel: 347-843-3692 Fax: --
Contact information for business:
47-47 46 STREET APARTMENT 1F WOODSIDE, NY 11377 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1669874327
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | NY | 089817 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 777777 | NY | 05 |
