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Individual

MRS. GEO'QUANA W MCDOUGAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFTA

Contact information

Practice address
1140 KILDAIRE FARM RD STE 304, CARY, NC 27511-7600
(919) 267-1161
(844) 748-0842
Mailing address
1140 KILDAIRE FARM RD STE 304, CARY, NC 27511-7600
(919) 267-1161
(844) 748-0842

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12239A
NC

Other

Enumeration date
09/03/2020
Last updated
09/03/2020
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