Individual
DEBRA ANN DORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4449 N 12TH ST, PHOENIX, AZ 85014-4520
(480) 658-4233
(602) 279-1431
Mailing address
PO BOX 16906, PHOENIX, AZ 85011-6906
(602) 279-1427
(602) 279-1431
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9622475
AZ
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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