Individual
COLLEEN MCDOUGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
3 HARRISON ST, SPRINGVALE, ME 04083-1010
(207) 651-5335
Mailing address
899 RIVERSIDE ST, PORTLAND, ME 04103-1070
(207) 871-1200
(207) 871-1232
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LS12267
ME
Other
Enumeration date
01/04/2010
Last updated
01/04/2010
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