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Individual

KAREN L. DOUGLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
24424 W MCNICHOLS RD, DETROIT, MI 48219-3653
(313) 531-2500
Mailing address
510 E FERRY ST, DETROIT, MI 48202-3816
(313) 614-9195

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
4704160358
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704160358
MI

Other

Enumeration date
10/30/2008
Last updated
02/03/2020
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