Kyle David Douglas, MSW
Social Worker in Jackson, TN. Individual provider (NPI-1).
NPI number1699367409
StatusActive
Last updated in NPPESFeb 3, 2021
Details
- NPI
- 1699367409
- Entity type
- Individual (NPI-1)
- Name
- Kyle David Douglas
- Credential
- MSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 3, 2021
- Certification date
- Feb 2, 2021
- Last updated
- Feb 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
Practice location
112 N Liberty StJackson, TN 38301-6200
Phone 731-736-4400
Mailing address
112 N Liberty StJackson, TN 38301-6200
Phone 731-736-4400
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All 39 Social Worker providers in Jackson · All 3,212 providers in Jackson
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