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Individual
MR. DORNELL MISTER
Active
Individual
MR. DORNELL MISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SOCIAL WORK
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2-00571
MI
104100000X
Social Worker
6802072553
MI
Other
Enumeration date
08/05/2006
Last updated
09/11/2025
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