Individual
MRS. JAMIE KATHLEEN DORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 PARTRIDGE LN, WEST SPRINGFIELD, MA 01089-4359
(413) 531-5255
Mailing address
12 PARTRIDGE LN, WEST SPRINGFIELD, MA 01089-4359
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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