Lisa Marie Douglas

NPI #1972943124 in Redondo Beach, California

Provider Information

NPI Number
1972943124
Entity Type
Individual
Name
Lisa Marie Douglas
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Marriage & Family Therapist
Enumeration Date
Jul 2, 2013
Last Updated
Jul 2, 2013

Practice Location

Address
2002 VANDERBILT LN APT C
ZIP Code
90278-3062
Phone
(408) 646-7632

Specialties & Taxonomy Codes

Specialty
Marriage & Family Therapist

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