Individual
GRACE DOCHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT, ATR-BC
Contact information
Practice address
72 E MAIN ST, AVON, NY 14414-1437
(585) 469-0634
Mailing address
72 E MAIN ST, AVON, NY 14414-1437
(585) 469-0634
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
1807
NY
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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