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Individual

MR. WILLIAM HAMILTON DOUGLAS III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2156 WOODDALE BLVD., STE 750, BATON ROUGE, LA 70806
(225) 930-8058
Mailing address
3036 WASHINGTON AVE, BATON ROUGE, LA 70802-2175
(225) 650-6329

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
03/21/2017
Last updated
03/21/2017
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