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1093864464
CORNELIUS DOHERTY
SAN FRANCISCO, CA
NPI
1093864464
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 20344)
Enumeration Date
2007-01-09
Last Update Date
2007-07-24
Business Address
Mr. CORNELIUS DOHERTY LSCW
1309 EVANS AVE
SAN FRANCISCO, CA 94124-1705
Phone number: 510-325-1846
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Mailing Address
Mr. CORNELIUS DOHERTY LSCW
2045 FAIRMONT DRIVE
SAN LEANDRO, CA 94578
Phone number: 510-325-1846
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