Individual
CECILIA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
45 DIMOCK ST, ROXBURY, MA 02119-1208
(617) 442-8800
(617) 541-8472
Mailing address
55 DIMOCK ST, ROXBURY, MA 02119-1029
(161) 744-2880
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
123578
MA
Other
Enumeration date
10/23/2018
Last updated
04/05/2021
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