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Individual
DOUGLAS WEIL
Active
Individual
DOUGLAS WEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
113585
CA
251B00000X
Case Management Agency
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YM0800X
—
CA
Enumeration date
03/27/2019
Last updated
06/16/2023
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