Amanda Marie Dougherty
Amanda Marie Dougherty is an Adolescent and Children Mental Health Clinic/Center in Bloomington, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
9358 Ensign Ave SBloomington, MN 55438-1472
Phone: (952) 666-2289
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Specialties & licences
| Adolescent and Children Mental Health Clinic/Center (primary) | Taxonomy 261QM0855X |
|---|
Record details
| NPI number | 1033958848 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 21, 2024 |
| Last updated in NPPES | May 21, 2024 |
| Certification date | May 21, 2024 |
| Mailing address | 9358 Ensign Ave S, Bloomington, MN 55438-1472 |
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