Individual
ROBERT LEE DAUGHERTY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
201 CREST ST, BURLINGTON, WI 53105-1952
(262) 767-0440
(262) 767-0777
Mailing address
201 CREST ST, BURLINGTON, WI 53105-1952
(262) 767-0440
(262) 767-0777
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
234124
WI
Other
Enumeration date
04/19/2006
Last updated
07/08/2007
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