Individual
DWIGHT DORCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7 SAMOSET ST # 3, DORCHESTER, MA 02124
(617) 459-8195
Mailing address
520 DUDLEY STREET, ROXBURY, MA 02119-2414
(617) 989-9455
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
03/31/2017
Last updated
06/27/2017
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