Individual
BRETT DORSTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 W CRAWFORD ST, VAN WERT, OH 45891-1903
(419) 238-0648
Mailing address
205 W CRAWFORD ST, VAN WERT, OH 45891-1903
(419) 238-0648
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
20574555
OH
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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