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1013194166
CARRIE E DAUGHERTY
HIGHLAND PARK, MI
NPI
1013194166
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-01-30
Last Update Date
2008-01-30
Business Address
Ms. CARRIE E DAUGHERTY FAODP
12501 HAMILTON AVE
HIGHLAND PARK, MI 48203-3243
Phone number: 313-865-1580
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Mailing Address
Ms. CARRIE E DAUGHERTY FAODP
12501 HAMILTON AVE
HIGHLAND PARK, MI 48203-3243
Phone number: 313-865-1580
Copy
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