Individual
MRS. TRACIE DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LGSW
Contact information
Practice address
4201 CONNECTICUT AVE NW, #300, WASHINGTON, DC 20008-1158
(202) 624-0010
Mailing address
4201 CONNECTICUT AVE NW, #300, WASHINGTON, DC 20008-1158
(202) 624-0010
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
21786
MD
1041C0700X
Clinical Social Worker
Primary
50081819
DC
Other
Enumeration date
06/27/2016
Last updated
11/18/2016
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