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1235753385
KIMBERLY SUE DOUGHERTY
ST PETERSBURG, FL
NPI
1235753385
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2020-06-04
Last Update Date
2020-12-07
Business Address
KIMBERLY SUE DOUGHERTY
4010 CENTRAL AVE
ST PETERSBURG, FL 33711-1239
Phone number: 727-327-7656
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Mailing Address
KIMBERLY SUE DOUGHERTY
1848 SE 1ST AVE
FORT LAUDERDALE, FL 33316-2875
Phone number: 954-366-2700
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