Individual
JACLYN K DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
1240 S GERONIMO RD, APACHE JUNCTION, AZ 85219-9830
(480) 495-6946
Mailing address
1240 S GERONIMO RD, APACHE JUNCTION, AZ 85219-9830
(480) 495-6946
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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