Individual
MOLLY A DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
415 N 26TH ST STE 201, LAFAYETTE, IN 47904-2856
(765) 583-0186
Mailing address
415 N 26TH ST STE 201, LAFAYETTE, IN 47904-2856
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008750A
IN
Other
Enumeration date
01/02/2020
Last updated
06/28/2023
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