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Individual

ADAM J DOHERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
2001 S SHIELDS ST, BUILDING K, FORT COLLINS, CO 80526-1827
(970) 494-4200
(970) 346-9800
Mailing address
125 CRESTRIDGE ST, FORT COLLINS, CO 80525-3934
(970) 494-9761
(970) 346-9800

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW-9923048
CO

Other

Enumeration date
10/05/2012
Last updated
10/05/2012
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