Mary Brondou Dousharm, LCSW
NPI #1356643514 in Gouverneur, New York
Provider Information
- NPI Number
- 1356643514
- Entity Type
- Individual
- Name
- Mary Brondou Dousharm, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Nov 22, 2010
- Last Updated
- Nov 22, 2019
Practice Location
- Address
- 28 WILLIAM ST
- City
- Gouverneur
- State
- New York
- ZIP Code
- 13642-1405
- Phone
- (315) 287-2811
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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