Individual
KRISTIN M DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1106 GOLF CLUB RD, LAS CRUCES, NM 88011-4000
(575) 571-8551
Mailing address
1106 GOLF CLUB RD, LAS CRUCES, NM 88011-4000
(575) 571-8551
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/09/2020
Last updated
04/09/2020
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