Evan Douglas
Case Manager/Care Coordinator in Washington, DC. Individual provider (NPI-1).
NPI number1235948472
StatusActive
Last updated in NPPESJan 2, 2025
Details
- NPI
- 1235948472
- Entity type
- Individual (NPI-1)
- Name
- Evan Douglas
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 2, 2025
- Certification date
- Jan 2, 2025
- Last updated
- Jan 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
1301 Lenfant Sq SeWashington, DC 20020-6724
Phone 240-328-7335
Mailing address
1301 Lenfant Sq SeWashington, DC 20020-6724
Phone 240-328-7335
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