Individual
MRS. PRISCILLA LOIS DORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
636 PINETREE RD, HERMON, ME 04401-0126
(207) 848-0729
(207) 848-0729
Mailing address
636 PINETREE RD, HERMON, ME 04401-0126
(207) 848-0729
(207) 848-0729
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
ME
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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