Individual
KIMBERLY PINE DOUGHARTY
Active
Individual
KIMBERLY PINE DOUGHARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPAT
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
CTB20230922
NM
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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