Individual
AUDRA DORSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
776 S STATE ST STE 107, UKIAH, CA 95482-5858
(707) 463-4915
Mailing address
445 OAK MANOR DR, UKIAH, CA 95482-5119
(707) 513-7987
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
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