Douglas, Mark
Douglas, Mark is an individual health care provider with primary practice located at 303 Fraser Dr , Hinesville GA 31313-3712. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Douglas, Mark can be contacted via phone (912) 877-2227.Contact Information
Primary practice address
303 Fraser Dr
Hinesville GA 31313-3712
Phone: (912) 877-2227
Fax: (912) 877-2332
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | CSW007151 | Georgia |
Profile Details
| NPI number | 1508475062 |
|---|---|
| LBN Legal business name | Douglas, Mark |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2020 |
| Last updated | Jul 30th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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