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Organization
DOUGLAS PSYCHOTHERAPY SERVICES, LCSW, PC
Active
Organization
DOUGLAS PSYCHOTHERAPY SERVICES, LCSW, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER-ALEXANDER D DOUGLAS LCSW-R (DIRECTOR)
(212) 828-7473
Entity
Organization
Contact information
Practice address
1199 PARK AVE, SUITE 1C, NEW YORK, NY 10128
(212) 828-7473
Mailing address
1199 PARK AVE, SUITE 1C, NEW YORK, NY 10128
(212) 828-7473
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PR060963-1
NY
Other
Enumeration date
09/01/2011
Last updated
11/04/2016
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