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1992266928
JACQUELINE DOUGHERTY
SAINT AUGUSTINE, FL
NPI
1992266928
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH16753)
Enumeration Date
2019-03-31
Last Update Date
2019-03-31
Business Address
JACQUELINE DOUGHERTY
4475 US HIGHWAY 1 S STE 608
SAINT AUGUSTINE, FL 32086-7282
Phone number: 904-447-7525
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Mailing Address
JACQUELINE DOUGHERTY
4475 US HIGHWAY 1 S STE 608
SAINT AUGUSTINE, FL 32086-7282
Phone number:
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