Individual
SARA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.M.
Contact information
Practice address
142 JORALEMON ST STE 3E, BROOKLYN, NY 11201-4709
(718) 935-0400
Mailing address
142 JORALEMON ST STE 3E, BROOKLYN, NY 11201-4709
(718) 935-0400
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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