Individual
MARIAM DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5249 KENILWORTH AVE APT 103, HYATTSVILLE, MD 20781-2863
(240) 907-0050
Mailing address
5249 KENILWORTH AVE APT 103, HYATTSVILLE, MD 20781-2863
(240) 907-0050
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
DC
171M00000X
Case Manager/Care Coordinator
Primary
—
DC
Other
Enumeration date
05/19/2026
Last updated
07/07/2026
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