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1508475062
MARK DOUGLAS
HINESVILLE, GA
NPI
1508475062
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: GA CSW007151)
Enumeration Date
2020-07-30
Last Update Date
2020-07-30
Business Address
Mr. MARK DOUGLAS LCSW
303 FRASER DR
HINESVILLE, GA 31313-3712
Phone number: 912-877-2227
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Mailing Address
Mr. MARK DOUGLAS LCSW
178 FINN CIR
SAVANNAH, GA 31419-8408
Phone number: 912-308-6735
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