Individual
SHELBY DORITY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 N MAIN ST, TENNESSEE RIDGE, TN 37178-4003
(888) 291-4357
Mailing address
922 MOORE BRANCH RD, ERIN, TN 37061-5586
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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