| Katherine Douglas Pllc | |
|
2325 Dean St Saint Charles IL 60175-4810 | |
| (630) 418-1287 | |
| Not Available |
| Full Name | Katherine Douglas Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2325 Dean St, Saint Charles, Illinois |
| Authorized Official Name and Position | Katherine Douglas (OWNER) |
| Authorized Official Contact | 6304181287 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Douglas Pllc 517 Elm Ave Geneva IL 60134-1562 Ph: () - | Katherine Douglas Pllc 2325 Dean St Saint Charles IL 60175-4810 Ph: (630) 418-1287 |
| NPI Number | 1336992353 |
|---|---|
| Provider Enumeration Date | 04/09/2024 |
| Last Update Date | 04/09/2024 |
| Certification Date | 04/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336992353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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