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Individual

BAILEE DOHERTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2121 W SPRING CREEK PKWY, PLANO, TX 75023-4100
(469) 795-1812
Mailing address
113 PINION LN, ROCKWALL, TX 75032-4618
(214) 470-6792

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
85346
TX

Other

Enumeration date
02/21/2023
Last updated
02/21/2023
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