Individual
KATHRYN DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CGC
Contact information
Practice address
3435 W BROADWAY AVE, ROBBINSDALE, MN 55422-2969
(763) 581-2926
Mailing address
3435 W BROADWAY AVE, ROBBINSDALE, MN 55422-2969
(763) 581-2926
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
06/26/2014
Last updated
08/28/2014
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