TIMOTHY MICHAEL DOHERTY

WINSTON-SALEM, NC
NPI1740240431
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NC  C002863)
Enumeration Date2006-03-25
Last Update Date2007-07-08
Business Address
Mr. TIMOTHY MICHAEL DOHERTY LCSW
190 KIMEL PARK DR
WINSTON-SALEM, NC 27103-6946
Phone number: 336-768-3296
Mailing Address
Mr. TIMOTHY MICHAEL DOHERTY LCSW
241 LUCERNE LN
WINSTON-SALEM, NC 27104-2916
Phone number: 336-774-0379
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