MR. Mark Douglas, LCSW

NPI #1508475062 in Hinesville, Georgia

Provider Information

NPI Number: 1508475062
Entity Type: Individual
Name: MR. Mark Douglas, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Jul 30, 2020
Last Updated: Jul 30, 2020

Practice Location

Address: 303 FRASER DR
City: Hinesville
State: Georgia
ZIP Code: 31313-3712
Phone: (912) 877-2227

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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