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1174864847
RENEE SHANNA DOUGHERTY
ARDMORE, OK
NPI
1174864847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OK 171M00000X)
Enumeration Date
2013-03-06
Last Update Date
2013-03-06
Business Address
Miss RENEE SHANNA DOUGHERTY
2530 S COMMERCE ST BUILDING B.
ARDMORE, OK 73401-5519
Phone number: 580-223-2537
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Mailing Address
Miss RENEE SHANNA DOUGHERTY
2530 S COMMERCE ST BUILDING B.
ARDMORE, OK 73401-5519
Phone number:
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