Individual
MRS. ANGELA C. DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
428 S GILBERT RD STE 106-5, GILBERT, AZ 85296-2263
(480) 345-1313
Mailing address
8234 E OBISPO AVE, MESA, AZ 85212-1614
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSCW 11606
AZ
Other
Enumeration date
05/10/2007
Last updated
07/12/2017
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