Individual
HEATHER LYNN DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C, RN
Contact information
Practice address
1418 MARION BARRY AVE SE, WASHINGTON, DC 20020-5615
(202) 796-5000
Mailing address
PO BOX 102904, PASADENA, CA 91189-0140
(810) 643-1418
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
21007
MD
1041C0700X
Clinical Social Worker
LC200002117
DC
1041C0700X
Clinical Social Worker
—
—
163W00000X
Registered Nurse
Primary
RN500004103
DC
Other
Enumeration date
06/27/2023
Last updated
06/25/2024
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