Individual
KEITH WAYNE DAUGHERTY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
700 MARSHALL ST, HAGERSTOWN, MD 21740-3641
(240) 440-0226
Mailing address
700 MARSHALL ST, HAGERSTOWN, MD 21740-3641
(240) 440-0226
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
29740
MD
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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