Individual
SAMUEL H DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4010 DUPONT CIR STE 484A, LOUISVILLE, KY 40207-4812
(502) 218-4275
(502) 855-4971
Mailing address
3307 RICHARD AVE, LOUISVILLE, KY 40206-2759
(502) 218-4275
(502) 855-4971
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
258753
KY
Other
Enumeration date
01/30/2024
Last updated
08/06/2026
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