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1407493737
CAROLYN RUTH DOHERTY
ORLANDO, FL
NPI
1407493737
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW16200)
Enumeration Date
2019-12-05
Last Update Date
2019-12-05
Business Address
Ms. CAROLYN RUTH DOHERTY LCSW
2554 LAKE DEBRA DR APT 25102
ORLANDO, FL 32835-8711
Phone number: 781-243-9653
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Mailing Address
Ms. CAROLYN RUTH DOHERTY LCSW
2554 LAKE DEBRA DR APT 25102
ORLANDO, FL 32835-8711
Phone number: 781-243-9653
Copy
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