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Individual

MR. DAVID P DORSEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW, LCDCS

Contact information

Practice address
66 PAVILION AVE, PROVIDENCE, RI 02905-1522
(401) 461-9110
(401) 461-9194
Mailing address
66 PAVILION AVE, PROVIDENCE, RI 02905-1522
(401) 461-9110
(401) 461-9194

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCS00027
RI
101YM0800X
Mental Health Counselor
CSW00486
RI

Other

Enumeration date
07/12/2010
Last updated
07/12/2010
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