Individual
COLLEEN MARIE DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CGC
Contact information
Practice address
19 FLAT ROCK DR, EASTON, CT 06612-1701
(203) 505-1255
Mailing address
PO BOX 112, EASTON, CT 06612-0112
(203) 505-1255
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
41
CT
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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