Individual
MRS. CINDY P DORNACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
171 KNOLLCREST AVE, BRICK, NJ 08723-7517
(848) 448-6422
Mailing address
171 KNOLLCREST AVE, BRICK, NJ 08723-7517
(848) 448-6422
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL05291000
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05412700
NJ
Other
Enumeration date
11/03/2008
Last updated
01/12/2022
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