Individual
AMY MCDOUGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
508 S ADAMS ST STE 102, FORT WORTH, TX 76104-2151
(817) 878-2834
Mailing address
6213 EDWARDS VIEW CT APT 1714, FORT WORTH, TX 76132-5373
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
103369
TX
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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