Individual
AMY LEIGH DORSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4178
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10893
LCSW LICSENSE: CT DEPT OF PUBLIC HEALTH
CT
01
—
4178
DEPARTMENT OF PUBLIC HEALTH
CT
Enumeration date
05/30/2018
Last updated
02/16/2023
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