Individual
JAQUITA DORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
19530 TELBIR AVE, ROCKY RIVER, OH 44116-2622
(216) 299-1305
Mailing address
19530 TELBIR AVE, ROCKY RIVER, OH 44116-2622
(216) 299-1305
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1801907
OH
Other
Enumeration date
04/04/2018
Last updated
07/24/2023
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