Individual
MRS. DIANE M MACDOUGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LMHC
Contact information
Practice address
60 ISLAND ST, LAWRENCE, MA 01840
(978) 687-3700
(425) 928-2856
Mailing address
447 S MAIN ST, ANDOVER, MA 01810
(978) 475-1652
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4487
MA
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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