Individual
BRANDON J DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
807 W WHITE HORSE PIKE UNIT 95, COLOGNE, NJ 08213-1101
(609) 829-8168
Mailing address
807 W WHITE HORSE PIKE UNIT 95, COLOGNE, NJ 08213-1101
(609) 829-8168
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
44SL06787700
NJ
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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