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Individual

LUCY E DOHERTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
336 S SHORE RD, NEW DURHAM, NH 03855-2120
(603) 759-1491
Mailing address
PO BOX 504, NEW DURHAM, NH 03855-0504
(603) 759-1491

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
765
NH

Other

Enumeration date
11/17/2010
Last updated
02/16/2022
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