Individual
COLLEEN MCDOUGALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 QUENBY PL, STRATFORD, CT 06614-1863
(551) 486-6111
Mailing address
185 ASYLUM ST, HARTFORD, CT 06103-3408
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6302
CT
Other
Enumeration date
09/29/2015
Last updated
10/11/2023
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