Dally Nicole Douglas, MS, RBT
NPI #1730605825 in Little River, South Carolina
Provider Information
- NPI Number
- 1730605825
- Entity Type
- Individual
- Name
- Dally Nicole Douglas, MS, RBT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Credential
- MS, RBT
- Enumeration Date
- Aug 21, 2017
- Last Updated
- Apr 26, 2024
Practice Location
- Address
- 4313 RIVER GATE LN
- City
- Little River
- State
- South Carolina
- ZIP Code
- 29566-6828
- Phone
- (910) 545-8353
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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