Individual
AMEENAH DOUMBIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Contact information
Practice address
111 W JACKSON BLVD, CHICAGO, IL 60604-3589
(206) 738-4179
Mailing address
8270 WOODLAND CENTER BLVD, TAMPA, FL 33614-2401
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.026422
IL
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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