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1982689451
MICHELE DOHERTY
STATEN ISLAND, NY
NPI
1982689451
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY RO27974-1)
Enumeration Date
2005-12-07
Last Update Date
2007-07-08
Business Address
Mrs. MICHELE DOHERTY LCSW
633 CLOVE RD
STATEN ISLAND, NY 10310-2736
Phone number: 718-727-5056
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Mailing Address
Mrs. MICHELE DOHERTY LCSW
25 EDSTONE DR
STATEN ISLAND, NY 10301-3401
Phone number: 718-727-6056
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