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1588916118
ADAM J DOHERTY
FORT COLLINS, CO
NPI
1588916118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO CSW-9923048)
Enumeration Date
2012-10-05
Last Update Date
2012-10-05
Business Address
-- ADAM J DOHERTY LCSW
2001 S SHIELDS ST BUILDING K
FORT COLLINS, CO 80526-1827
Phone number: 970-494-4200
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Mailing Address
-- ADAM J DOHERTY LCSW
125 CRESTRIDGE ST
FORT COLLINS, CO 80525-3934
Phone number: 970-494-9761
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