Individual
MS. SUSAN GORHAM DOBRATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 WHITE VIOLET LN, PLYMOUTH, MA 02360-2659
(774) 413-9564
Mailing address
1 WHITE VIOLET LN, PLYMOUTH, MA 02360-2659
(774) 413-9564
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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