Individual
MRS. ELLEN DORSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LC
Contact information
Practice address
106 CRESTLINE AVE, CLARKSDALE, MS 38614-2300
(901) 356-0072
Mailing address
106 CRESTLINE AVE, CLARKSDALE, MS 38614-2300
(901) 356-0072
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
MS
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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