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Individual

LAUREN LOVE MCDOUGAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1401 SAINT EDWARDS DR APT 272, AUSTIN, TX 78704-6510
(504) 427-3720
Mailing address
1401 SAINT EDWARDS DR APT 272, AUSTIN, TX 78704-6510
(504) 427-3720

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PLC9645
LA
106S00000X
Behavior Technician

Other

Enumeration date
05/18/2019
Last updated
01/17/2024
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