Individual
BERENICE DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
231 N EUCLID AVE, UPLAND, CA 91786-6038
(909) 815-9841
Mailing address
231 N EUCLID AVE, UPLAND, CA 91786-6038
(909) 815-9841
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ASW99431
CA
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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