Shanice Delisa Douglas
NPI #1699268797 in Roxbury, Massachusetts
Provider Information
- NPI Number
- 1699268797
- Entity Type
- Individual
- Name
- Shanice Delisa Douglas
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Enumeration Date
- Jun 13, 2018
- Last Updated
- Jun 13, 2018
Practice Location
- Address
- 520 DUDLEY ST
- City
- Roxbury
- State
- Massachusetts
- ZIP Code
- 02119-2769
- Phone
- (617) 989-9499
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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