Individual
MR. DAVID STUART DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
279 MASSACHUSETTS AVE, ARLINGTON, MA 02474-8302
(781) 777-1726
Mailing address
279 MASSACHUSETTS AVE, ARLINGTON, MA 02474-8302
(617) 571-5194
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1018400
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PO5220
BLUE CROSS BLUE SHIELD
MA
Enumeration date
03/19/2007
Last updated
07/08/2007
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