Most Relevant Information
Provider Data
| NPI Number: | 1003563255 |
| Provider Name: | MIKAYLA DOUGALL |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/08/2022 |
| Last Updated: | 03/08/2022 |
Provider Practice Location
1351 NEWTOWN PIKE BLDG 1
LEXINGTON
KY
405111277
Practice Location Phone/Fax
| Phone: | 8592531686 |
| Fax: |
Provider Mailing Location
1351 NEWTOWN PIKE BLDG 1
LEXINGTON
KY
405111277
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |