Individual
SANDRA MCDONOUGH
Active
Individual
SANDRA MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CGC, LGC
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
25MJ00005100
NJ
Other
Enumeration date
11/15/2014
Last updated
11/15/2014
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