JEFFREY DOUGLASS

COEUR D ALENE, ID
NPI1669647863
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-1207)
Enumeration Date2008-04-28
Last Update Date2008-04-28
Business Address
-- JEFFREY DOUGLASS
613 S DOLLAR ST
COEUR D ALENE, ID 83814-3828
Phone number: 208-667-8387
Mailing Address
-- JEFFREY DOUGLASS
613 S DOLLAR ST
COEUR D ALENE, ID 83814-3828
Phone number:
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