Individual
ASHLEY NICOLE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21885 DUNHAM RD, CLINTON TOWNSHIP, MI 48036-1030
(586) 469-5950
Mailing address
21885 DUNHAM RD, CLINTON TOWNSHIP, MI 48036-1030
(586) 469-5950
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801100967
MI
1041C0700X
Clinical Social Worker
6851100967
MI
Other
Enumeration date
05/29/2017
Last updated
08/03/2021
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