Individual
JOANNA DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
400 WHITE HORSE PIKE, HADDON HEIGHTS, NJ 08035-1707
(856) 452-0045
Mailing address
400 WHITE HORSE PIKE, HADDON HEIGHTS, NJ 08035-1707
(856) 452-0045
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06101900
NJ
1041C0700X
Clinical Social Worker
44SC05732300
NJ
1041C0700X
Clinical Social Worker
CW019195
PA
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
—
NJ
Other
Enumeration date
09/02/2014
Last updated
09/08/2023
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