Individual
MS. DORASY B PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, LLMSW
Contact information
Practice address
110 N 4TH AVE, ANN ARBOR, MI 48104-5503
(734) 320-9717
(734) 222-3731
Mailing address
110 N 4TH AVE, ANN ARBOR, MI 48104-5503
(734) 320-9717
(734) 222-3731
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6802082200
MI
163W00000X
Registered Nurse
Primary
4704276621
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XYP918050516
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
Enumeration date
02/18/2008
Last updated
02/18/2011
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