Individual
MS. ELISSA BETH DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LISW
Contact information
Practice address
7062 WEST BLVD UNIT 2, BOARDMAN, OH 44512-4301
(614) 499-5131
Mailing address
726 WICK AVE, YOUNGSTOWN, OH 44505-2827
(330) 747-9551
(330) 884-6120
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I1200036
OH
Other
Enumeration date
03/31/2012
Last updated
04/01/2020
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