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Individual

MRS. BRIEANNA PATRICE DAUGHERTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
15280 S 4TH ST, SCHOOLCRAFT, MI 49087-9473
(269) 371-4567
Mailing address
PO BOX 10, MASON, MI 48854-0010

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401012984
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1708146
MI
Enumeration date
06/11/2012
Last updated
11/24/2025
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