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Individual

ALEX JORDAN DORCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1505 S OSWEGO AVE, RUSSELLVILLE, AR 72802-2673
(479) 967-3370
Mailing address
PO BOX 679, MORRILTON, AR 72110-0679
(501) 354-4589
(501) 354-5410

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
06/27/2018
Last updated
06/27/2018
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