Maxine Jean Douglas, LCSW

NPI #1871181974 in Brookhaven, Georgia

Provider Information

NPI Number
1871181974
Entity Type
Individual
Name
Maxine Jean Douglas, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Jan 5, 2021
Last Updated
Jan 5, 2021

Practice Location

Address
10 PERIMETER SUMMIT BLVD NE UNIT 4408
State
Georgia
ZIP Code
30319-1487
Phone
(404) 468-3284

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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