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Individual

NADINE CHANAIR DOUGLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
127 CATHERINE ST APT 3, BRIDGEPORT, CT 06604-3310
(475) 312-7651
Mailing address
127 CATHERINE ST APT 3, BRIDGEPORT, CT 06604-3310
(475) 312-7651

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5455
CT

Other

Enumeration date
12/08/2021
Last updated
12/08/2021
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