Individual
MS. DANA KAY DORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9501 W WATERTOWN PLANK RD, WAUWATOSA, WI 53226-3552
(414) 257-3141
(414) 257-3151
Mailing address
9501 W WATERTOWN PLANK RD, PO BOX 13397, WAUWATOSA, WI 53226-3552
(414) 257-3141
(414) 257-3151
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6719-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39786100
—
WI
Enumeration date
04/04/2008
Last updated
04/04/2008
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