MALAISSA DOUGLAS

GRASS VALLEY, CA
NPI1861902249
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2017-10-11
Last Update Date2017-10-11
Business Address
MALAISSA DOUGLAS
714 W MAIN ST
GRASS VALLEY, CA 95945-6410
Phone number: 530-477-9800
Mailing Address
MALAISSA DOUGLAS
714 W MAIN ST
GRASS VALLEY, CA 95945-6410
Phone number: 530-477-9800
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