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Individual

MS. ANGELA JEAN DORMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LSW

Contact information

Practice address
100 MASSMILLS DR APT 515, LOWELL, MA 01852-1239
(617) 335-5396
(978) 287-3639
Mailing address
100 MASSMILLS DR APT 515, LOWELL, MA 01852-1239
(617) 335-5396
(978) 287-3639

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
313409
MA

Other

Enumeration date
08/09/2011
Last updated
08/09/2011
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