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Individual

JOSEPH DORAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSW

Contact information

Practice address
1411 LINCOLNWAY W, MISHAWAKA, IN 46544-1626
(574) 533-1234
(574) 537-2652
Mailing address
PO BOX 809, GOSHEN, IN 46527-0809
(574) 533-1234
(574) 537-2652

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33012436A
IN

Other

Enumeration date
09/05/2024
Last updated
09/05/2024
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