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Search › Georgia › 1041C0700X

Sean Dougherty, LMSW

NPI 1598391112 · on the registry since 2020

Practice

Address
1650 County Services Pkwy Sw
Marietta, GA 30008
Phone
(770) 514-2422
Organisation at this address
Genoa Healthcare Llc
Cobb County Board Of Health
Cobb County Board Of Health
Marietta Public Health Center
Prestigious Medical Center, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
42

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-03-15

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 Georgia