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1902286974
TERRY DORNAK
FORT MYERS, FL
NPI
1902286974
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071009088)
Enumeration Date
2015-06-04
Last Update Date
2021-09-13
Business Address
Dr. TERRY DORNAK Psy.D.
6300 CORPORATE CT STE 103
FORT MYERS, FL 33919-3513
Phone number: 312-781-2850
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Mailing Address
Dr. TERRY DORNAK Psy.D.
3525 W PETERSON AVE STE 609
CHICAGO, IL 60659-3324
Phone number: 847-532-3007
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