Individual
MR. JEFFREY DOUGLAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
858 LYNHAVEN CT, ROCHESTER HILLS, MI 48307-3028
(248) 766-1563
Mailing address
858 LYNHAVEN CT, ROCHESTER HILLS, MI 48307-3028
(248) 766-1563
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801114949
MI
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
06/05/2018
Last updated
09/01/2025
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