Individual
CASWANNA DORSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
85 E NEWTON ST STE 802, BOSTON, MA 02118-3553
(617) 638-8013
Mailing address
85 E NEWTON ST STE 802, BOSTON, MA 02118-3553
(617) 638-8013
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
225706
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
12/06/2021
Last updated
12/06/2021
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