Individual
CATHERINE DOKTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
765 ALLENS AVE, PROVIDENCE, RI 02905-5443
(401) 714-3459
(401) 842-0360
Mailing address
765 ALLENS AVE, PROVIDENCE, RI 02905-5443
(401) 714-3459
(401) 842-0360
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW00547
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
RI
Enumeration date
05/20/2006
Last updated
07/02/2010
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