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1275607111
KATHARINE C DOUGLASS
TRAVERSE CITY, MI
NPI
1275607111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: MI 6301005697)
Enumeration Date
2006-11-20
Last Update Date
2007-07-08
Business Address
-- KATHARINE C DOUGLASS M.S.
107 E STATE ST
TRAVERSE CITY, MI 49684-2512
Phone number: 231-946-4419
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Mailing Address
-- KATHARINE C DOUGLASS M.S.
529 6TH ST
TRAVERSE CITY, MI 49684-2417
Phone number:
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