Individual
AUSTIN MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
125 N LAKE ST, MANISTIQUE, MI 49854-1234
(906) 341-4687
Mailing address
125 N LAKE ST, MANISTIQUE, MI 49854-1234
(906) 341-4687
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
6801106054
MI
Other
Enumeration date
12/17/2007
Last updated
11/21/2019
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