Individual
DOUGLAS E DOOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
7493 147TH ST W, SUITE 107, APPLE VALLEY, MN 55124-4505
(952) 432-0043
Mailing address
7493 147TH ST W, SUITE 107, APPLE VALLEY, MN 55124-4505
(952) 432-0043
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4205
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
707699100
—
MN
Enumeration date
06/18/2008
Last updated
09/05/2014
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