Search › Michigan › 1041C0700X
Eleanor Dougherty, LMSW-C/M.DCSW
NPI 1295715498 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1341 N 26th St
Penstar Office Center Ste 103
Escanaba, MI 49829 - Phone
- (906) 233-9588
- Fax
- (906) 217-2008
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
101YA0400X
101YM0800X
101YM0800X
101YP2500X
101YP2500X
1041C0700X
106H00000X - Licence states on file
- MI, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-01-07
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 Michigan