CORNELIUS DOHERTY

SAN FRANCISCO, CA
NPI1093864464
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCS 20344)
Enumeration Date2007-01-09
Last Update Date2007-07-24
Business Address
Mr. CORNELIUS DOHERTY LSCW
1309 EVANS AVE
SAN FRANCISCO, CA 94124-1705
Phone number: 510-325-1846
Mailing Address
Mr. CORNELIUS DOHERTY LSCW
2045 FAIRMONT DRIVE
SAN LEANDRO, CA 94578
Phone number: 510-325-1846