Individual
JOSEPH MICHEAL DORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
184 UNSER BLVD NE, RIO RANCHO, NM 87124-4045
(505) 896-0928
Mailing address
6104 KEARNEY TRL NW, ALBUQUERQUE, NM 87120-3342
(505) 899-5453
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
NM
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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