Individual
MARIE FALLON DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
171 MAIN ST, STE 401, MILFORD, MA 01757
(508) 473-4984
(508) 482-7316
Mailing address
171 MAIN ST, STE 401, MILFORD, MA 01757
(508) 473-4984
(508) 482-7316
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1019354
MA
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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