Individual
LAURA J MACDOUGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, PCSW
Contact information
Practice address
4025 RAWLINS ST, CHEYENNE, WY 82001-1900
(307) 426-4797
(307) 427-4900
Mailing address
4025 RAWLINS ST, CHEYENNE, WY 82001-1900
(307) 426-4797
(307) 427-4900
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
707
WY
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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