Individual
SAMUEL H DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2225 W BROADWAY, LOUISVILLE, KY 40211-1087
(502) 589-8600
Mailing address
10401 LINN STATION RD STE 100, LOUISVILLE, KY 40223-3842
(502) 589-8600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
258753
KY
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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