Individual
DORIS CHERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
428 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3164
Mailing address
93 DIX ST, HAMDEN, HAMDEN, CT 06514-4930
(203) 772-4662
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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