Kendall Douville
Social Worker, Clinical in Columbia, MD. Individual provider (NPI-1).
NPI number1982201125
StatusActive
Last updated in NPPESOct 1, 2020
Details
- NPI
- 1982201125
- Entity type
- Individual (NPI-1)
- Name
- Kendall Douville
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 1, 2020
- Certification date
- Oct 1, 2020
- Last updated
- Oct 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 21580 | MD | Yes |
Other names
- Kendall Spera (Former Name)
Practice location
5410 Lynx Ln Ste 285Columbia, MD 21044-2483
Phone 107-403-2404 · Fax 617-807-0958
Mailing address
1000 Jefferson St Ste 2cLynchburg, VA 24504-1724
Phone 540-217-6461 · Fax 617-807-0958
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