Individual
TAMIYA DORTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
216 N BICKETT BLVD, LOUISBURG, NC 27549-2473
(919) 729-0127
Mailing address
216 N BICKETT BLVD STE 7, LOUISBURG, NC 27549-2473
(919) 729-0127
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P015269
NC
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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