SUSAN ELLEN DOUGLASS

WORCESTER, MA
NPI1275829558
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  116372)
Enumeration Date2011-06-24
Last Update Date2011-06-24
Business Address
-- SUSAN ELLEN DOUGLASS LICSW
72 JAQUES AVE
WORCESTER, MA 01610-2476
Phone number: 508-860-1154
Mailing Address
-- SUSAN ELLEN DOUGLASS LICSW
45 SUMMER ST
LEOMINSTER, MA 01453-3228
Phone number: 508-421-4544