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Individual

KAYLA LYNN DOUGLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
137 VILLAGE WAY, CANTON, MI 48188-3449
(734) 560-8534
Mailing address
PO BOX 223, DEXTER, MI 48130-0223
(734) 560-8534

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801117182
MI

Other

Enumeration date
05/06/2026
Last updated
05/06/2026
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