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Individual

MRS. NANCY ELAINE DAUGHERTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
118 W PINE ST, FARMINGTON, MO 63640-1403
(573) 701-0330
(573) 701-0330
Mailing address
10008 OAKLEAF RD # 401, CADET, MO 63630-8108
(636) 337-0590
(573) 701-0330

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2000145537
MO

Other

Enumeration date
01/04/2007
Last updated
07/08/2007
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