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Individual

ELIAS MICHAEL DOUGHTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1964 ASHLEY RIVER RD UNIT 80901B, CHARLESTON, SC 29416-1637
(843) 259-8853
(888) 808-4249
Mailing address
1964 ASHLEY RIVER RD UNIT 80901B, CHARLESTON, SC 29416-1637
(843) 259-8853
(888) 808-4249

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
SC

Other

Enumeration date
05/11/2026
Last updated
05/11/2026
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