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1285771865
CARISSA ANNE DOUGHERTY
AUSTIN, TX
NPI
1285771865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 36018)
Enumeration Date
2007-01-31
Last Update Date
2007-07-08
Business Address
Ms. CARISSA ANNE DOUGHERTY LCSW
4019 MANCHACA RD
AUSTIN, TX 78704-6737
Phone number: 512-804-3414
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Mailing Address
Ms. CARISSA ANNE DOUGHERTY LCSW
1430 COLLIER ST
AUSTIN, TX 78704-2911
Phone number: 512-445-7787
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