Douglas, Dina Marie

Douglas, Dina Marie is an sole proprietor health care provider with primary practice located at 143 Gougler Ave , Kent OH 44240-2401. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Douglas, Dina Marie can be contacted via phone (330) 677-4124.

Contact Information

Primary practice address
143 Gougler Ave Kent OH 44240-2401
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I9747SUPV Ohio

Profile Details

NPI number 1023500691
LBN Legal business name Douglas, Dina Marie
Credentials LISW-S
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2018
Last updated May 30th, 2018 - 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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