Individual
DOROTHY DOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8001 ROOSEVELT BLVD, SUITE 301, PHILADELPHIA, PA 19152-3038
(215) 331-3200
Mailing address
2033 AMBER STREET, PHILADELPHIA, PA 19125
(717) 419-2756
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CW017256
PA
Other
Enumeration date
05/23/2012
Last updated
05/23/2012
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