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Lauri Dougherty, LICENSED CLINICAL SO
NPI 1184031700 · on the registry since 2014 · sole proprietor
Practice
- Address
- 140 Captain Thomas Blvd
Suite 205
West Haven, CT 06516 - Phone
- (203) 444-5159
- Fax
- (203) 378-4637
- Organisation at this address
- Konedu Home Care, Llc
Sacred Ground Institute LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Clinical Social Worker
1041C0700X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-07-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut