MS. Dina Marie Douglas, LISW-S

NPI #1023500691 in Kent, Ohio

Provider Information

NPI Number: 1023500691
Entity Type: Individual
Name: MS. Dina Marie Douglas, LISW-S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LISW-S
Enumeration Date: May 30, 2018
Last Updated: May 30, 2018

Practice Location

Address: 143 GOUGLER AVE
City: Kent
State: Ohio
ZIP Code: 44240-2401
Phone: (330) 677-4124

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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