Tanya Douglas

NPI #1285183053 in Stanton, Michigan

Provider Information

NPI Number: 1285183053
Entity Type: Individual
Name: Tanya Douglas
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Sep 22, 2016
Last Updated: Sep 22, 2016

Practice Location

Address: 611 N STATE ST
City: Stanton
State: Michigan
ZIP Code: 48888-9702
Phone: (989) 831-7520

Specialties & Taxonomy Codes

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

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