Shelby Dority

NPI #1629536966 in Tennessee Ridge, Tennessee

Provider Information

NPI Number: 1629536966
Entity Type: Individual
Name: Shelby Dority
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Mar 6, 2019
Last Updated: Mar 6, 2019

Practice Location

Address: 1330 N MAIN ST
City: Tennessee Ridge
State: Tennessee
ZIP Code: 37178-4003
Phone: (888) 291-4357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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