Individual
MS. PATRICIA C DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34474 23 MILE RD, CHESTERFIELD, MI 48047-2003
(586) 996-2273
Mailing address
57626 RIVER OAKS DR, NEW HAVEN, MI 48048-3302
(810) 434-4824
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401018148
MI
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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