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1730744251
JALISSA DOUGHTY-MOODY
PLANTATION, FL
NPI
1730744251
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: FL MT4050)
Enumeration Date
2019-05-09
Last Update Date
2022-05-07
Business Address
Mrs. JALISSA DOUGHTY-MOODY LMFT
100 NW 82ND AVE STE 305
PLANTATION, FL 33324-1835
Phone number: 954-903-1676
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Mailing Address
Mrs. JALISSA DOUGHTY-MOODY LMFT
100 NW 82ND AVE STE 305
PLANTATION, FL 33324-1835
Phone number: 954-903-1676
Copy
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