MICHAEL DOUGLAS

ELGIN, IL
NPI1972908770
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2014-10-23
Last Update Date2014-10-23
Business Address
-- MICHAEL DOUGLAS
1845 GRANDSTAND PLACE
ELGIN, IL 60123
Phone number: 847-695-0484
Mailing Address
-- MICHAEL DOUGLAS
152 TOWN CENTER BLVD
GILBERTS, IL 60136
Phone number: 847-815-2590
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