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Individual

MS. DORASY B PAUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, LLMSW

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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