Individual
ERIN NICOLE DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 BROWN BLVD, BOURBONNAIS, IL 60914-2328
(262) 902-0915
Mailing address
5811 WILDWOOD DR, MOUNT PLEASANT, WI 53403-9727
(262) 902-0915
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.026778
IL
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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