Provider Demographics
NPI:1265976690
Name:DOOLEY, MARY (MSW)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:DOOLEY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1531
Mailing Address - Street 2:
Mailing Address - City:ROBERTSDALE
Mailing Address - State:AL
Mailing Address - Zip Code:36567-1531
Mailing Address - Country:US
Mailing Address - Phone:251-616-0326
Mailing Address - Fax:251-929-4213
Practice Address - Street 1:7 S SUMMIT ST
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-2331
Practice Address - Country:US
Practice Address - Phone:251-616-0326
Practice Address - Fax:251-929-4213
Is Sole Proprietor?:No
Enumeration Date:2016-12-04
Last Update Date:2016-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3687C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical