Individual
CAROLE LYNN MERRITT DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
509 N BIRCH ST, KALKASKA, MI 49646-8414
(231) 258-5133
Mailing address
5128 MEADOWLARK LN, WILLIAMSBURG, MI 49690-8622
(231) 624-0091
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801057167
MI
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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