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1295137610
MARYELLEN DOUGHERTY
BELLEVUE, WA
NPI
1295137610
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: WA PY60664588)
Additional Taxonomies
103T00000X Psychologist
Enumeration Date
2014-09-17
Last Update Date
2023-08-07
Business Address
MARYELLEN DOUGHERTY
13620 NE 20TH ST STE I
BELLEVUE, WA 98005-4901
Phone number: 425-647-7695
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Mailing Address
MARYELLEN DOUGHERTY
13620 NE 20TH ST STE I
BELLEVUE, WA 98005-4901
Phone number: 425-647-7695
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