Individual
KELLI DORWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1315 S BELL AVE STE 108, AMES, IA 50010-7730
(515) 337-0343
Mailing address
812 COVE DR UNIT 201, AMES, IA 50010-2325
(515) 559-4953
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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