Individual
BRANDI MICHELLE DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LISW
Contact information
Practice address
209 LANCASTER ST, MARIETTA, OH 45750-2736
(263) 574-0702
Mailing address
98 CHERRY BLOSSOM LN, LITTLE HOCKING, OH 45742-5137
(304) 887-4799
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
I2405337
OH
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/20/2021
Last updated
08/12/2025
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