Individual
CASSANDRA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2714 UNION AVENUE EXT, MEMPHIS, TN 38112-4436
(901) 320-6154
Mailing address
2714 UNION AVENUE EXT, MEMPHIS, TN 38112-4436
(901) 320-6154
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/31/2013
Last updated
10/31/2013
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