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1255479564
MARY K. DOHERTY
PHILADELPHIA, PA
NPI
1255479564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-02-01
Last Update Date
2007-07-08
Business Address
-- MARY K. DOHERTY
8540 VERREE RD
PHILADELPHIA, PA 19111-1325
Phone number: 215-342-7660
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Mailing Address
-- MARY K. DOHERTY
8540 VERREE RD
PHILADELPHIA, PA 19111-1325
Phone number: 215-342-7660
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