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1023353653
SHAWN DOUGHERTY
EAST HARTFORD, CT
NPI
1023353653
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT 001019)
Enumeration Date
2012-12-08
Last Update Date
2012-12-08
Business Address
-- SHAWN DOUGHERTY MS, LADC
490 SILVER LN
EAST HARTFORD, CT 06118-1100
Phone number: 860-593-3902
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Mailing Address
-- SHAWN DOUGHERTY MS, LADC
490 SILVER LN
EAST HARTFORD, CT 06118-1100
Phone number:
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