Individual
LAQUONNA DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 N GOODMAN ST, ROCHESTER, NY 14607-1185
(585) 325-3145
(585) 442-7615
Mailing address
320 N GOODMAN ST, ROCHESTER, NY 14607-1185
(585) 325-3145
(585) 442-7615
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
NY
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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