Individual
MS. MIA S DORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW CADC
Contact information
Practice address
201 POSSUM PARK RD STE 5, NEWARK, DE 19711-3831
(302) 444-4796
(302) 444-4727
Mailing address
404 STERLING AVE, NEW CASTLE, DE 19720-4777
(302) 650-4289
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1052
DE
1041C0700X
Clinical Social Worker
Primary
Q1-0001689
DE
Other
Enumeration date
02/02/2010
Last updated
08/01/2019
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