Individual
MS. ANDREA RACE DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1025 MASSACHUSETTS AVE, ARLINGTON, MA 02476-4503
(617) 615-6353
Mailing address
1025 MASSACHUSETTS AVE, ARLINGTON, MA 02476-4503
(617) 615-6353
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
116215
MA
Other
Enumeration date
10/31/2008
Last updated
11/10/2014
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