Individual
JAYNA KATHRYN DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
37 SUFFOLK AVE, SWAMPSCOTT, MA 01907-1126
(781) 249-2159
Mailing address
37 SUFFOLK AVE, SWAMPSCOTT, MA 01907-1126
(781) 249-2159
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
221189
MA
Other
Enumeration date
08/31/2017
Last updated
12/31/2020
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