Individual
KELLY MCDOUGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
6700 BOCK RD, FORT WASHINGTON, MD 20744-3135
(301) 292-2778
Mailing address
7749 INVERSHAM DR, APT. 215, FALLS CHURCH, VA 22042-4490
(314) 452-0629
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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