Individual
CATHERINE MARIE DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
218 E PARK ST, MCCALL, ID 83638-3832
(208) 469-0213
Mailing address
598 DIAMOND ST, MCCALL, ID 83638-3208
(208) 469-0213
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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