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Individual

DIARA MCDOUGAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1110 HORIZON VIEW PL, ACCOKEEK, MD 20607-2829
(301) 875-2469
Mailing address
1110 HORIZON VIEW PL, ACCOKEEK, MD 20607-2829
(301) 875-2469

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-68213

Other

Enumeration date
09/12/2019
Last updated
09/17/2023
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