Individual
SUSAN GAIL DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3903 HILE RD, STOW, OH 44224-4230
(330) 571-1389
(234) 208-8239
Mailing address
3903 HILE RD, STOW, OH 44224-4230
(330) 571-1389
(234) 208-8239
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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