Individual
MRS. MARY VIRGINIA MACDOUGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS/CCC-SLP
Contact information
Practice address
901 ENGLEWOOD PKWY, SUITE 118, ENGLEWOOD, CO 80110-2305
(970) 291-9034
Mailing address
PO BOX 773209, STEAMBOAT SPRINGS, CO 80477-3209
(970) 291-9034
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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