Individual
MS. SHERRY L DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
LILY LAKE RD, WAVERLY, PA 18471-0036
(570) 563-2929
Mailing address
PO BOX 36, LILY LAKE RD, WAVERLY, PA 18471-0036
(570) 563-2929
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CW013317
PA
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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