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Individual

JENNIFER DORMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC-T

Contact information

Practice address
3800 N CENTRAL AVE STE 1010, PHOENIX, AZ 85012-1918
(602) 669-3948
Mailing address
19401 N 7TH ST LOT 201, PHOENIX, AZ 85024-1653
(602) 669-3948

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-08374T
AZ

Other

Enumeration date
12/17/2025
Last updated
12/17/2025
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