Individual
CONSTANCE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11 W PROSPECT AVE FL 4, C/O WJCS, MOUNT VERNON, NY 10550-2017
(914) 668-8938
(914) 668-2545
Mailing address
11 W PROSPECT AVE FL 4, C/O WJCS, MOUNT VERNON, NY 10550-2017
(914) 668-8938
(914) 668-2545
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
071290
NY
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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