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1336786540
JESSICA DOUGLAS
MONTGOMERY, AL
NPI
1336786540
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AL 2745)
Enumeration Date
2019-12-06
Last Update Date
2019-12-06
Business Address
JESSICA DOUGLAS
112 COLISEUM BLVD
MONTGOMERY, AL 36109-2708
Phone number: 334-279-7810
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Mailing Address
JESSICA DOUGLAS
PO BOX 3223
MONTGOMERY, AL 36109-0223
Phone number: 334-279-7830
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