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1922837350
DEVAN DOHERTY
WATKINSVILLE, GA
NPI
1922837350
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: GA 3669)
Enumeration Date
2024-08-01
Last Update Date
2024-08-01
Business Address
DEVAN DOHERTY CACII
2 S MAIN ST STE 206
WATKINSVILLE, GA 30677-7101
Phone number: 706-991-9865
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Mailing Address
DEVAN DOHERTY CACII
105 WHITEHEAD RD APT 13
ATHENS, GA 30606-1552
Phone number: 706-206-0892
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