Individual
STEPHANIE DORTCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7464 LITTLE POND CT, ORLANDO, FL 32810-6051
(321) 304-0849
Mailing address
7464 LITTLE POND CT, ORLANDO, FL 32810-6051
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/23/2018
Last updated
06/23/2018
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