Mr. TIMOTHY MICHAEL DOHERTY -- LCSW
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1740240431- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LCSW
- Status
- Active
Contact & Location
- Address
- 190 KIMEL PARK DR, WINSTON-SALEM, NC, 271036946
- Phone
- (336) 768-3296
- Fax
- (336) 760-5484
Specialties & Taxonomies
Social Worker, Clinical
Primary License: NC #C002863