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Individual

VIRGINIA DORN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2320 CAMELIA ST, CAYCE, SC 29033-2510
(803) 705-9441
(803) 445-2007
Mailing address
2921A EARLEWOOD DR APT A, COLUMBIA, SC 29201-1406
(803) 705-9441
(803) 445-2001

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
172V00000X
Community Health Worker
174H00000X
Health Educator
372500000X
Chore Provider
372600000X
Adult Companion
373H00000X
Day Training/Habilitation Specialist
374700000X
Technician
3747A0650X
Attendant Care Provider
Primary
SC
3747P1801X
Personal Care Attendant
374J00000X
Doula
374T00000X
Religious Nonmedical Nursing Personnel
374U00000X
Home Health Aide
376J00000X
Homemaker
376K00000X
Nurse's Aide
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/02/2012
Last updated
04/02/2012
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