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1215309349
MICHEL DOUGLAS
FAIRFIELD, CA
NPI
1215309349
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 104252)
Enumeration Date
2015-10-28
Last Update Date
2023-03-06
Business Address
MICHEL DOUGLAS
711 JEFFERSON ST STE 203
FAIRFIELD, CA 94533-5556
Phone number: 707-333-4184
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Mailing Address
MICHEL DOUGLAS
PO BOX 1802
VALLEJO, CA 94590-0180
Phone number: 510-877-0687
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