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1962012278
DORIS ANN DORNBERGER
LOMBARD, IL
NPI
1962012278
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Former Name
DORIS ANN TANKERSLEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: IL 149.004881)
Enumeration Date
2020-08-03
Last Update Date
2020-08-03
Business Address
DORIS ANN DORNBERGER
19W020 13TH ST
LOMBARD, IL 60148-4739
Phone number: 630-222-1966
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Mailing Address
DORIS ANN DORNBERGER
19W020 13TH ST
LOMBARD, IL 60148-4739
Phone number: 630-222-1966
Copy
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