Individual
CATHERINE DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
224 S MAIN ST STE 202, CENTERVILLE, UT 84014-2206
(801) 513-1801
Mailing address
455 E 900 S, CENTERVILLE, UT 84014-2524
(801) 513-1801
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
11815022-3501
UT
104100000X
Social Worker
Primary
11815022-3502
UT
Other
Enumeration date
06/18/2020
Last updated
07/20/2022
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