Individual
MR. DOUGLAS R. FENDER
Active
Individual
MR. DOUGLAS R. FENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW, RN
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-28638
ID
1041C0700X
Clinical Social Worker
Primary
LW60278349
WA
163W00000X
Registered Nurse
RN00173898
WA
Other
Enumeration date
06/23/2009
Last updated
02/09/2026
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