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Individual

DR. CASEY LEE MCDOUGALL

Active
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Individual

DR. CASEY LEE MCDOUGALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D., L.P.

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP 5341
MN
103TC0700X
Clinical Psychologist
Primary
LP 5341
MN
103TC2200X
Clinical Child & Adolescent Psychologist
LP 5341
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1508809765
MN
01
LP 5341
MN BOARD OF PSYCHOLOGY LICENSE #
MN
Enumeration date
12/13/2010
Last updated
07/11/2012
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