Individual
CLARISSA DORR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PPS CREDENTIAL
Contact information
Practice address
4724 SAN JOSE ST., MONTCLAIR, CA 91763
(909) 624-0029
Mailing address
950 W D ST, ONTARIO, CA 91762-3026
(909) 624-0029
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
240161424
CA
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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