Individual
SHOSHANA MCDOUGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
(678) 212-6343
Mailing address
4105 HOWELL PARK RD, DULUTH, GA 30096-1731
(678) 665-5606
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW007570
GA
Other
Enumeration date
12/20/2016
Last updated
12/20/2016
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