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Individual
CORTNEY D DOUGLAS
Active
Individual
CORTNEY D DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
NULL
372600000X
Adult Companion
008397800
FL
385HR2055X
Child Mental Illness Respite Care
008397800
FL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
008397800
FL
385HR2065X
Child Physical Disabilities Respite Care
008397800
FL
Other
Enumeration date
12/29/2012
Last updated
06/10/2018
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