Individual
MELISSA A DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
375 MAIN ST, ROCKLAND, ME 04841-3304
(207) 596-0359
(207) 596-0350
Mailing address
375 MAIN ST, ROCKLAND, ME 04841-3304
(207) 596-0359
(207) 596-0350
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC12568
ME
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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