SEAN TYRONE DOUGLAS

GLEN COVE, NY
NPI1457370124
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R056802)
Enumeration Date2006-07-19
Last Update Date2023-08-15
Business Address
Mr. SEAN TYRONE DOUGLAS Ph.D., LCSW-R
5 BREWSTER ST STE 143
GLEN COVE, NY 11542-2549
Phone number: 516-825-8584
Mailing Address
Mr. SEAN TYRONE DOUGLAS Ph.D., LCSW-R
5 BREWSTER ST STE 143
GLEN COVE, NY 11542-2549
Phone number: 516-825-8584