Jodie C Wilson-dougherty LCSW

NPI 1366610735 - Social Worker - 1041C0700X

NPI Details
NPI 1366610735
Gender Female
Enumeration Date 02/19/2008
Last Updated 08/14/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
407 TULIP STREET
LIVERPOOL NY, 13088-4962, US
Phone (315) 657-3111
Fax (315) 451-5557
Business Location
407 TULIP ST
LIVERPOOL NY, 13088-4962, US
Phone (315) 657-3111
Fax (315) 451-5557
Toxanomy
Taxonomy Code 1041C0700X
License State New York
License Number 079038
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According to our database, Ms. Jodie C Wilson-dougherty LCSW NPI is 1366610735, taxonomy code is 1041C0700X and license number is 079038, license state is located at New York. Jodie C Wilson-dougherty LCSW physically located at 407 Tulip Street, Liverpool NY, 13088-4962. NPI Number Jodie C Wilson-dougherty LCSW has the Individual type.

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1366610735 NPI number is provided on an as is basis without warranty of any kind. 1366610735 is maintained by the National Plan & Provider Enumeration System. The contents of Jodie C Wilson-dougherty LCSW are for informational purposes only.