LETERRIOUS DOUGLAS

DECATUR, GA
NPI1679168793
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2021-03-02
Last Update Date2021-03-02
Business Address
LETERRIOUS DOUGLAS
2897 BATTLE FORREST DR
DECATUR, GA 30034-2756
Phone number: 312-731-3944
Mailing Address
LETERRIOUS DOUGLAS
2897 BATTLE FORREST DR
DECATUR, GA 30034-2756
Phone number: 404-348-6672
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