Individual
DOUGLAS SHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7535 W TUMBLEWOOD DR, PEORIA, AZ 85382-4821
(623) 229-2885
Mailing address
5501 N 19TH AVE, 310, PHOENIX, AZ 85015-2450
(602) 433-1344
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1705
AZ
Other
Enumeration date
12/08/2008
Last updated
12/08/2008
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