Individual
DORA ANN CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MC
Contact information
Practice address
1717 TAYLOR AVE, RACINE, WI 53403-2405
(262) 638-6417
(262) 638-6767
Mailing address
4234 SPRING ST, MOUNT PLEASANT, WI 53405-1622
(262) 484-8129
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5205-125
WI
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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