Individual
ANGELA JO DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
1354 BALDWIN ST, JENISON, MI 49428-8937
(313) 530-8055
Mailing address
1354 BALDWIN ST, JENISON, MI 49428-8937
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851120816
—
Other
Enumeration date
02/06/2026
Last updated
02/06/2026
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