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Individual

NICOLE DOUGHERTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
19992 KELLY RD, HARPER WOODS, MI 48225-1919
(855) 772-8847
Mailing address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
10/04/2021
Last updated
10/14/2025
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