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1023500691
DINA MARIE DOUGLAS
KENT, OH
NPI
1023500691
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH I9747SUPV)
Enumeration Date
2018-05-30
Last Update Date
2018-05-30
Business Address
Ms. DINA MARIE DOUGLAS LISW-S
143 GOUGLER AVE
KENT, OH 44240-2401
Phone number: 330-677-4124
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Mailing Address
Ms. DINA MARIE DOUGLAS LISW-S
407 HIGH ST
KENT, OH 44240-3803
Phone number: 330-310-3164
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