Most Relevant Information
Provider Data
| NPI Number: | 1003679564 |
| Provider Name: | COURTNEY MARIE DOTY LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 7091 |
Most Important Dates
| Enumeration Date: | 02/06/2024 |
| Last Updated: | 02/06/2024 |
Provider Practice Location
1309 S MAIN ST
WATERBURY
CT
067061758
Practice Location Phone/Fax
| Phone: | 2037568021 |
| Fax: |
Provider Mailing Location
112 CHURCH HILL RD
SANDY HOOK
CT
064821110
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |