Individual
MRS. MELISSA D. DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1855 CHATEAU DU MONT DR, FLORISSANT, MO 63031-1053
(314) 616-6211
Mailing address
1855 CHATEAU DU MONT DR, FLORISSANT, MO 63031-1053
(314) 616-6211
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2016031528
MO
Other
Enumeration date
01/06/2017
Last updated
10/22/2020
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