Individual
CORI CARTER DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
2720 FREDERICA ST, OWENSBORO, KY 42301-5442
(270) 926-2484
(270) 685-6015
Mailing address
2720 FREDERICA ST, OWENSBORO, KY 42301-5442
(270) 926-2484
(270) 685-6015
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3423
KY
Other
Enumeration date
01/08/2007
Last updated
07/02/2015
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