Individual
BRENDA DORSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1122 HEALTHCARE DR, MOUNT CARROLL, IL 61053-1461
(779) 245-4195
Mailing address
630 S GREENFIELD DR, FREEPORT, IL 61032-7123
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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