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1164719589
STEPHANIE DOHERTY
BARLING, AR
NPI
1164719589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-07-06
Last Update Date
2011-07-06
Business Address
-- STEPHANIE DOHERTY MHPP
10301 MAYO DR
BARLING, AR 72923-1660
Phone number: 479-494-5700
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Mailing Address
-- STEPHANIE DOHERTY MHPP
3352 N FUTRALL DR
FAYETTEVILLE, AR 72703-4057
Phone number: 479-521-1427
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