Individual
COREY W DORSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1611 PEACH ST STE 185, ERIE, PA 16501-2125
(814) 480-8985
Mailing address
1410 RICHMOND HOUSE, MEADVILLE, PA 16335-1054
(814) 807-0422
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
BHQ02610
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BHQ02610
PENNSYLVANIA BUREAU OF PROFESSIONAL & OCCUPATIONAL AFFAIRS
PA
Enumeration date
04/01/2019
Last updated
06/11/2019
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