Individual
NAKESIA DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHA, MSW
Contact information
Practice address
1992 CHANCELLOR RIDGE RD, PRATTVILLE, AL 36066-5641
(678) 255-5924
Mailing address
1992 CHANCELLOR RIDGE RD, PRATTVILLE, AL 36066-5641
(678) 255-5924
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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