Individual
DOROTHY ANN MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
463142 STATE ROAD 200, YULEE, FL 32097-5554
(904) 225-8280
(904) 225-8835
Mailing address
463142 STATE ROAD 200, YULEE, FL 32097-5554
(904) 225-8280
(904) 225-8835
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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