Individual
SHARLACIA M MCDOUGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2603 W RAWSON AVE STE 132, OAK CREEK, WI 53154-8422
(888) 754-0398
Mailing address
9745 S 27TH ST APT 112, FRANKLIN, WI 53132-9661
(262) 902-2998
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
M232-7930-4599-01
WI
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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