Individual
ROSAURA DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1675 PALM BEACH LAKES BLVD, SUITE 200, WEST PALM BEACH, FL 33401-2122
(561) 881-2822
Mailing address
1675 PALM BEACH LAKES BLVD, SUITE 200, WEST PALM BEACH, FL 33401-2122
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
222Q00000X
Developmental Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
FL
Enumeration date
06/20/2014
Last updated
06/20/2014
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