MR. Jason James Dougherty, L.M.S.W

NPI #1295158970 in Manistique, Michigan

Provider Information

NPI Number: 1295158970
Entity Type: Individual
Name: MR. Jason James Dougherty, L.M.S.W
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: L.M.S.W
Enumeration Date: Jan 30, 2014
Last Updated: Jan 30, 2014

Practice Location

Address: 813 E LAKESHORE DR
City: Manistique
State: Michigan
ZIP Code: 49854-1683
Phone: (906) 341-3420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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