Individual
SELINA J DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOULA, RBT
Contact information
Practice address
1832 MCCULLOCH AVE, OWENSBORO, KY 42303-0463
(312) 342-0426
Mailing address
1832 MCCULLOCH AVE, OWENSBORO, KY 42303-0463
(312) 342-0426
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
374J00000X
Doula
—
—
Other
Enumeration date
06/23/2022
Last updated
01/09/2023
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