Gerald Dortch
NPI #1023408218 in Jacksonville, Florida
Provider Information
- NPI Number
- 1023408218
- Entity Type
- Individual
- Name
- Gerald Dortch
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- Jan 27, 2015
- Last Updated
- Jan 27, 2015
Practice Location
- Address
- 435 CLARK RD STE 107
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32218-5558
- Phone
- (904) 683-1425
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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