Individual
MRS. ELIZABETH JONES DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW,MAED,LCSW
Contact information
Practice address
77 WEST PORT PLAZA DRIVE, SUITE 360, ST. LOUIS, MO 63146
(314) 432-1462
Mailing address
41 BRIARCLIFF, SAINT LOUIS, MO 63124-1753
(314) 432-1712
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003610
MO
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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