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Individual

MRS. JALISSA DOUGHTY-MOODY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
100 NW 82ND AVE STE 305, PLANTATION, FL 33324-1835
(954) 903-1676
(954) 398-1338
Mailing address
100 NW 82ND AVE STE 305, PLANTATION, FL 33324-1835
(954) 903-1676
(954) 398-1338

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT4050
FL

Other

Enumeration date
05/09/2019
Last updated
05/07/2022
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