Individual
BARBARA JEAN DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3016 DUPONT CIR, JEFFERSON CITY, MO 65109-6188
(888) 403-1071
Mailing address
PO BOX 803919, KANSAS CITY, MO 64180-3919
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2005019882
MO
Other
Enumeration date
05/11/2006
Last updated
10/01/2018
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