Individual
DR. RAE-ANNE DOUGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 MALL DR, NORTH CHESTERFIELD, VA 23235-4737
(804) 594-3960
Mailing address
1215 MALL DR, NORTH CHESTERFIELD, VA 23235-4737
(804) 594-3960
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004948
VA
Other
Enumeration date
09/01/2015
Last updated
10/03/2016
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