MISS Renee Shanna Dougherty

NPI #1174864847 in Ardmore, Oklahoma

Provider Information

NPI Number
1174864847
Entity Type
Individual
Name
MISS Renee Shanna Dougherty
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Enumeration Date
Mar 6, 2013
Last Updated
Mar 6, 2013

Practice Location

Address
2530 S COMMERCE ST
Address 2
BUILDING B.
ZIP Code
73401-5519
Phone
(580) 223-2537

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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