Individual
ALISON MARIE DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
511 ALDER ST, ANACONDA, MT 59711-2527
(406) 560-3342
Mailing address
511 ALDER ST, ANACONDA, MT 59711-2527
(406) 560-3342
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
658
MT
Other
Enumeration date
09/29/2011
Last updated
09/29/2011
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