Individual
AURELIA DOTHAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2570 FEDERAL DRIVE, DECATUR, IL 62526
(217) 872-1003
(217) 233-4150
Mailing address
2570 FEDERAL DRIVE, DECATUR, IL 62526
(217) 872-1003
(217) 233-4150
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
149005526
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05821971
BCBS
IL
01
—
800013359
RR MED
—
Enumeration date
11/06/2006
Last updated
08/28/2009
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