Individual
SEAN P DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1650 COUNTY SERVICES PKWY SW, MARIETTA, GA 30008-4010
(770) 514-2422
Mailing address
1650 COUNTY SERVICES PKWY SW, MARIETTA, GA 30008-4010
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
MSW009289
GA
1041C0700X
Clinical Social Worker
Primary
CSW007864
GA
Other
Enumeration date
03/15/2020
Last updated
03/15/2022
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