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NPI Profile for TANEQUA S DORSEY in MCDONOUGH, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X |
| NPI Number | 1164033783 |
|
| Status | Active | |
| Credentials | LCSW (Licensed Clinical Social Worker) | |
| Entity | Individual | |
| Enumeration date | 08/17/2020 | |
| Last updated | 08/17/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TANEQUA S DORSEY
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TANEQUA S DORSEY, LCSW