Individual
ALEXANDER G DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
642 N MAIN ST, SALEM, AR 72576-9450
(870) 919-8705
Mailing address
642 N MAIN ST, SALEM, AR 72576-9450
(870) 919-8705
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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