Individual
JESSICA L DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
55 LAKE AVE N, S1-710, WORCESTER, MA 01655-0002
(508) 334-3517
(508) 334-3525
Mailing address
3 PEARL ST, NATICK, MA 01760-4813
(508) 653-7866
(508) 334-3525
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
10/11/2005
Last updated
07/08/2007
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