Individual
AMANDA KAY MCDOUGALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
517 W JEFFERSON ST, KOKOMO, IN 46901-4579
(765) 480-9466
Mailing address
517 W JEFFERSON ST, KOKOMO, IN 46901-4579
(765) 480-9466
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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