Individual
DEIRDRE DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2640 INDUSTRY WAY, SUITE B, LYNWOOD, CA 90262-4284
(310) 627-4525
(310) 627-4531
Mailing address
2640 INDUSTRY WAY, SUITE B, LYNWOOD, CA 90262
(310) 627-4525
(310) 627-4531
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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