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1114640513
MATILDA MARIE DOUGHERTY
FREDERICK, MD
NPI
1114640513
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2022-09-21
Last Update Date
2022-09-21
Business Address
MATILDA MARIE DOUGHERTY LGPC, NCC
319 W PATRICK ST
FREDERICK, MD 21701-4855
Phone number: 301-640-5702
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Mailing Address
MATILDA MARIE DOUGHERTY LGPC, NCC
73 S MAIN ST
SMITHSBURG, MD 21783-1952
Phone number: 240-422-3150
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