Individual
DR. CAROLYN VANDOREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
631 WILLETT AVE, DIXON, IL 61021-2348
(815) 677-4091
Mailing address
631 WILLETT AVE, DIXON, IL 61021-2348
(815) 677-4091
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
07/05/2007
Last updated
04/07/2008
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