Individual
MS. CAROL J DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
230 W 13TH ST, SUITE 1A, NEW YORK, NY 10011-7746
(212) 807-1865
(212) 337-0289
Mailing address
230 W 13TH ST, SUITE 1A, NEW YORK, NY 10011-7746
(212) 807-1865
(212) 337-0289
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
040059
NY
Other
Enumeration date
11/12/2007
Last updated
11/12/2007
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