Individual
NICOLE ELIZABETH DORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1023 BURLINGTON AVE, WESTERN SPRINGS, IL 60558-1516
(708) 745-5277
(708) 784-9451
Mailing address
1023 BURLINGTON AVE, WESTERN SPRINGS, IL 60558-1516
(708) 745-5277
(708) 784-9451
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178012561
IL
101YP2500X
Professional Counselor
178012561
IL
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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