Individual
ANN DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4283 VARSITY ST, VENTURA, CA 93003-3803
(805) 279-0125
Mailing address
4283 VARSITY ST, VENTURA, CA 93003-3803
(805) 279-0125
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS16163
CA
Other
Enumeration date
04/23/2007
Last updated
10/13/2014
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