| Tangie R. Mcdougald | |
|
205 Burnside Ave Ste 204 East Hartford CT 06108-2355 | |
| (860) 282-8882 | |
| (860) 282-8890 |
| Full Name | Tangie R. Mcdougald |
|---|---|
| Speciality | Counselor - Professional |
| Location | 205 Burnside Ave Ste 204, East Hartford, Connecticut |
| Authorized Official Name and Position | Tangie R. Mcdougald (OWNER) |
| Authorized Official Contact | 8602828882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tangie R. Mcdougald 122 Harbison Ave Hartford CT 06106-3013 Ph: (860) 944-4444 | Tangie R. Mcdougald 205 Burnside Ave Ste 204 East Hartford CT 06108-2355 Ph: (860) 282-8882 |
| NPI Number | 1972020295 |
|---|---|
| Provider Enumeration Date | 08/28/2017 |
| Last Update Date | 08/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972020295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 003265 (Connecticut) | Primary |
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