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1104000157
IRENE M DOUGHERTY
PHILADELPHIA, PA
NPI
1104000157
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: PA PC003468)
Enumeration Date
2007-12-27
Last Update Date
2007-12-27
Business Address
-- IRENE M DOUGHERTY LPC
407 FAIRMOUNT AVE
PHILADELPHIA, PA 19123-2807
Phone number: 215-796-2481
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Mailing Address
-- IRENE M DOUGHERTY LPC
407 FAIRMOUNT AVE
PHILADELPHIA, PA 19123-2807
Phone number: 215-796-2481
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