Individual
MICHAEL MCDOUGALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5401 SHED RD, BOSSIER CITY, LA 71111-5420
(318) 741-5250
Mailing address
5401 SHED RD, BOSSIER CITY, LA 71111-5420
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4499
LA
Other
Enumeration date
03/16/2009
Last updated
03/16/2009
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