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1023615614
KELLY DOUGHERTY
SHELTON, CT
NPI
1023615614
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Additional Taxonomies
1041C0700X Social Worker, Clinical
Enumeration Date
2020-10-06
Last Update Date
2020-10-07
Business Address
KELLY DOUGHERTY LMSW
2 TRAP FALLS RD STE 120
SHELTON, CT 06484-7621
Phone number: 203-816-6424
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Mailing Address
KELLY DOUGHERTY LMSW
2 TRAP FALLS RD STE 120
SHELTON, CT 06484-7621
Phone number: 203-816-6424
Copy
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