Provider Demographics
NPI:1972695187
Name:GARRITY, CECILY DORAN (LMSW)
Entity type:Individual
Prefix:MS
First Name:CECILY
Middle Name:DORAN
Last Name:GARRITY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1306 GARDNER AVE
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-4323
Mailing Address - Country:US
Mailing Address - Phone:734-255-4061
Mailing Address - Fax:734-769-7416
Practice Address - Street 1:1306 GARDNER AVE
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-4323
Practice Address - Country:US
Practice Address - Phone:734-769-7100
Practice Address - Fax:734-769-7416
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010737571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical