Individual
LAURA ANN DOUGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 559-5897
Mailing address
930 PORT SHELDON ST, JENISON, MI 49428-9337
(616) 206-4499
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301014746
MI
Other
Enumeration date
07/24/2012
Last updated
04/15/2024
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