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Individual
KATIE LYNNE DOCHERTY
Active
Individual
KATIE LYNNE DOCHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG61001787
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
CG61001787
WA
Other
Enumeration date
09/17/2019
Last updated
01/29/2020
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