Mia Star Douglas
NPI #1912441924 in Collierville, Tennessee
Provider Information
- NPI Number
- 1912441924
- Entity Type
- Individual
- Name
- Mia Star Douglas
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Dec 9, 2016
- Last Updated
- Dec 9, 2016
Practice Location
- Address
- 560 CHARLES HAMILTON DR
- City
- Collierville
- State
- Tennessee
- ZIP Code
- 38017-1667
- Phone
- (404) 849-8080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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