Individual
NATASHA DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
121 HUNTER AVE STE 202, CLAYTON, MO 63124-2083
(314) 474-8804
Mailing address
121 HUNTER AVE STE 202, CLAYTON, MO 63124-2083
(314) 474-8804
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2020039146
MO
Other
Enumeration date
07/12/2016
Last updated
07/05/2023
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