SHANICE DOUGLAS

SOMERVILLE, TN
NPI1346750163
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: TN  11343)
Enumeration Date2017-10-06
Last Update Date2017-10-06
Business Address
SHANICE DOUGLAS
12615 S MAIN ST
SOMERVILLE, TN 38068-1673
Phone number: 901-465-9831
Mailing Address
SHANICE DOUGLAS
1997 HIGHWAY 51 S
COVINGTON, TN 38019-3630
Phone number: 901-476-8967