Individual
KATHRYN CLARK MACDOUGALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5022 CAMPBELL BLVD STE L, NOTTINGHAM, MD 21236-4969
(443) 442-1568
(443) 442-1569
Mailing address
305 MURDOCK RD, BALTIMORE, MD 21212-1826
(443) 900-3102
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
19309
MD
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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