Consuela Delores Douglas
Social Worker in Atlanta, GA. Individual provider (NPI-1).
NPI number1982131983
StatusActive
Last updated in NPPESMay 22, 2017
Details
- NPI
- 1982131983
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Consuela Delores Douglas
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 22, 2017
- Last updated
- May 22, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | MSW003163 | GA | Yes |
Practice location
1040 Boulevard SeAtlanta, GA 30312-3811
Phone 404-441-7967
Mailing address
2423 Cheyenne CtDouglasville, GA 30135-8113
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