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Individual

CHRISTIN DOUGHERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
4031 UNIVERSITY DR, FAIRFAX, VA 22030-3409
(888) 978-3801
Mailing address
11751 MOSSY CREEK LN, RESTON, VA 20191-2950
(703) 727-2747

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010717
VA

Other

Enumeration date
10/18/2018
Last updated
10/18/2018
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