Individual
SHENINA DORSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4738 BEXLEY DR, STONE MOUNTAIN, GA 30083-5522
(678) 258-5879
Mailing address
4738 BEXLEY DR, STONE MOUNTAIN, GA 30083-5522
(678) 258-5879
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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