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1356090104
ALICIA DOUGLAS
BOWLING GREEN, KY
NPI
1356090104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-03-21
Last Update Date
2025-10-30
Business Address
ALICIA DOUGLAS
1500 PARKSIDE DR
BOWLING GREEN, KY 42101-2756
Phone number: 270-901-5000
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Mailing Address
ALICIA DOUGLAS
380 SUWANNEE TRAIL ST
BOWLING GREEN, KY 42103-7956
Phone number: 270-901-5000
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