Most Relevant Information
Provider Data
| NPI Number: | 1003361247 |
| Provider Name: | EMMA MACDOUGALL |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 178.011476 |
Most Important Dates
| Enumeration Date: | 08/17/2016 |
| Last Updated: | 08/17/2016 |
Provider Practice Location
5547 N RAVENSWOOD AVE
CHICAGO
IL
606401125
Practice Location Phone/Fax
| Phone: | 7735063057 |
| Fax: |
Provider Mailing Location
5547 N RAVENSWOOD AVE
CHICAGO
IL
606401125
Provider Mailing Phone/Fax
| Phone: | 7735063057 |
| Fax: |