Individual
HANNA DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(508) 423-0275
Mailing address
76 PIKE ST, TEWKSBURY, MA 01876-2544
(508) 423-0275
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
229152
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/04/2020
Last updated
05/02/2023
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