Individual
BREANA DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW-LP
Contact information
Practice address
391 WESTERN AVE, ALBANY, NY 12203-1491
(518) 242-4731
Mailing address
21 ERIE BLVD APT 321, MENANDS, NY 12204-2547
(518) 925-6562
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
NY
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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