Kelly L Daugherty MHC

NPI 1770759003 - Counselor - 101YM0800X

NPI Details
NPI 1770759003
Gender Female
Enumeration Date 05/06/2008
Last Updated 05/06/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
151 MYSTIC AVE
SUITE SIX
MEDFORD MA, 02155-4632, US
Phone (781) 396-1199
Fax (781) 396-1439
Business Location
151 MYSTIC AVE
SUITE SIX
MEDFORD MA, 02155-4632, US
Phone (781) 396-1199
Fax (781) 396-1439
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Kelly L Daugherty MHC NPI is 1770759003, taxonomy code is 101YM0800X Kelly L Daugherty MHC physically located at 151 Mystic Ave, Medford MA, 02155-4632. NPI Number Kelly L Daugherty MHC has the Individual type.

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1770759003 NPI number is provided on an as is basis without warranty of any kind. 1770759003 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly L Daugherty MHC are for informational purposes only.