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Individual

ZAIDA DOUGHERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
16 COVENTRY ST, HARTFORD, CT 06112-1524
(860) 569-5900
Mailing address
16 COVENTRY ST, HARTFORD, CT 06112-1524
(860) 569-5900

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YP2500X
Professional Counselor
Primary
1041C0700X
Clinical Social Worker

Other

Enumeration date
12/15/2011
Last updated
03/27/2019
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