Individual provider · NPI-1

Dora Ann Caldwell, MC

Counselor, Professional · Racine, WI

NPI number1841832474
StatusActive
Last updated in NPPESOct 15, 2019

Details

NPI
1841832474
Entity type
Individual (NPI-1)
Name
Dora Ann Caldwell
Credential
MC
Sex
Female
Sole proprietor
No
Enumeration date
Oct 15, 2019
Last updated
Oct 15, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional5205-125WIYes

Practice location

1717 Taylor Ave
Racine, WI 53403-2405

Phone 262-638-6417 · Fax 262-638-6767

Mailing address

4234 Spring St
Mount Pleasant, WI 53405-1622

Phone 262-484-8129

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