Individual
DANIELLE DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2850 5TH ST, BOULDER, CO 80304-3006
(303) 550-3874
Mailing address
2850 5TH ST, BOULDER, CO 80304-3006
(303) 550-3874
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW110
CO
Other
Enumeration date
12/24/2007
Last updated
10/10/2008
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