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Individual

ZENA DOHERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(503) 434-7523
Mailing address
3016 N MAIN ST, NEWBERG, OR 97132-9280
(503) 459-2705

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary

Other

Enumeration date
09/13/2011
Last updated
09/26/2011
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