Individual
RORY DOUGALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW, ADDC
Contact information
Practice address
1975 30TH ST APT 114, BOULDER, CO 80301-3067
(203) 993-5709
Mailing address
1975 30TH ST APT 114, BOULDER, CO 80301-3067
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW.0009924738
CO
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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