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1558139238
SEAN DOUGHERTY PC
ADA, MI
NPI
1558139238
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Entity Type
Organization
Authorized Contact
SEAN DOUGHERTY
P Rovider
616-504-1002
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
Enumeration Date
2023-12-13
Last Update Date
2023-12-13
Business Address
SEAN DOUGHERTY PC
967 SPAULDING AVE SE STE E
ADA, MI 49301-3703
Phone number: 616-504-1002
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Mailing Address
SEAN DOUGHERTY PC
967 SPAULDING AVE SE STE E
ADA, MI 49301-3703
Phone number: 616-504-1002
Copy
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