Individual
HEIDI DORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 DOWNING AVE, WESTCHESTER, IL 60154-5102
(708) 334-5976
Mailing address
1301 W COSSITT AVE, LA GRANGE, IL 60525-2145
(708) 334-5976
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1795556
IL
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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