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Individual
PATRICK OWEN DOUGHERTY
Active
Individual
PATRICK OWEN DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AAC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C4550
OR
Other
Enumeration date
09/19/2012
Last updated
03/13/2019
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