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1265128730
PORTIA DOUGHTY
CANNON AFB, NM
NPI
1265128730
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P018748)
Enumeration Date
2023-04-17
Last Update Date
2023-04-17
Business Address
PORTIA DOUGHTY LCSWA
224 WEST D.L. INGRAM AVE.
CANNON AFB, NM 88103
Phone number: 575-784-1108
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Mailing Address
PORTIA DOUGHTY LCSWA
1217 BROADWAY
CLOVIS, NM 88101-1178
Phone number: 804-965-3695
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