R Kevin Douglas, LCSW CASAC

NPI #1124366505 in Fishkill, New York

Provider Information

NPI Number
1124366505
Entity Type
Individual
Name
R Kevin Douglas, LCSW CASAC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW CASAC
Enumeration Date
Jan 20, 2013
Last Updated
Jan 20, 2013

Practice Location

Address
1073 MAIN ST STE 202A
ZIP Code
12524-3513
Phone
(914) 475-4083

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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