TISHAUNA DOUGLAS

HOPKINSVILLE, KY
NPI1457957235
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2020-12-08
Last Update Date2020-12-08
Business Address
TISHAUNA DOUGLAS
3999 FORT CAMPBELL BLVD
HOPKINSVILLE, KY 42240-4929
Phone number: 270-886-2205
Mailing Address
TISHAUNA DOUGLAS
PO BOX 614
HOPKINSVILLE, KY 42241-0614
Phone number: 270-886-2205
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