Individual
ANN DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3865 S MACKINAC TRL, SAULT SAINTE MARIE, MI 49783-9286
(906) 632-2805
Mailing address
3865 S MACKINAC TRL, SAULT SAINTE MARIE, MI 49783-9286
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
6801094861
MI
Other
Enumeration date
07/22/2013
Last updated
11/03/2014
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