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Individual

DESHARA C DOUB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4010 DUPONT CIR, LOUISVILLE, KY 40207-4812
(502) 532-1922
Mailing address
2312 S PRESTON ST UNIT 17707, LOUISVILLE, KY 40217-5029

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
106H00000X
Marriage & Family Therapist
Primary
242616
KY

Other

Enumeration date
06/24/2018
Last updated
06/24/2018
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