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Individual
LINDA S DOUGLAS
Active
Individual
LINDA S DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICDC-CS, LISW-S
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.081195
OH
104100000X
Social Worker
Primary
I.0030379-SUPV
OH
1041C0700X
Clinical Social Worker
I 0030379
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I 0030379
LISW
OH
Enumeration date
08/14/2006
Last updated
02/09/2024
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