Organization
CYNTHIA DORER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA ELAINE DORER LCSW (OWNER)
(770) 591-8000
Entity
Organization
Contact information
Practice address
225 CREEKSTONE RDG, SUITE 8, WOODSTOCK, GA 30188-3744
(770) 591-8000
(770) 591-7060
Mailing address
225 CREEKSTONE RDG, SUITE 8, WOODSTOCK, GA 30188-3744
(770) 591-8000
(770) 591-7060
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1579
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
483906800A
—
GA
Enumeration date
07/01/2012
Last updated
07/01/2012
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