Individual
RITA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 CHURCH ST, PLYMOUTH, MI 48170-1689
(734) 386-1500
Mailing address
650 CHURCH ST, PLYMOUTH, MI 48170-1689
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
24-7597-778629
MI
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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