Danielle Dougherty
Social Worker, Clinical in Boulder, CO. Individual provider (NPI-1).
NPI number1235313453
StatusActive
Last updated in NPPESOct 10, 2008
Details
- NPI
- 1235313453
- Entity type
- Individual (NPI-1)
- Name
- Danielle Dougherty
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 24, 2007
- Last updated
- Oct 10, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CSW110 | CO | Yes |
Practice location
2850 5th StBoulder, CO 80304-3006
Phone 303-550-3874
Mailing address
2850 5th StBoulder, CO 80304-3006
Phone 303-550-3874
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