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1063195014
FREDERICA LEE DAUGHERTY
PLEASANTVILLE, NY
NPI
1063195014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 118318)
Enumeration Date
2023-08-08
Last Update Date
2023-08-08
Business Address
Ms. FREDERICA LEE DAUGHERTY
1075 BROADWAY
PLEASANTVILLE, NY 10570-2346
Phone number: 845-743-6714
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Mailing Address
Ms. FREDERICA LEE DAUGHERTY
1075 BROADWAY
PLEASANTVILLE, NY 10570-2346
Phone number: 845-743-6714
Copy
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