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Individual

MRS. MELISSA PAULSON DOUGHERTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1219 NW 104TH TER, GAINESVILLE, FL 32606-8059
(352) 222-8433
Mailing address
1219 NW 104TH TER, GAINESVILLE, FL 32606-8059
(352) 222-8433

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
01/26/2024
Last updated
01/26/2024
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