Individual
COURTNEY DOUDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW, MED
Contact information
Practice address
4641 ROOSEVELT BLVD, PHILADELPHIA, PA 19124-2343
(215) 831-2860
Mailing address
4625 HAZEL AVE, APT 2R, PHILADELPHIA, PA 19143-2139
(716) 574-4091
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW132508
PA
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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