MR. JERRY DOUGLAS, LCSW

Social Worker - Clinical

Active Individual
NPI: 1841394939

Practice Address

1770 E LAKESHORE DR
SUITE 209
Decatur, IL 62521

Phone: (217) 423-6500

Specialties

Specialty Code Primary License
Psychiatry & Neurology - Psychiatry 2084P0800X No 149011257 (IL)
Social Worker - Clinical 1041C0700X Yes -

Frequently Asked Questions

NPI 1841394939 is the National Provider Identifier for MR. JERRY DOUGLAS, LCSW, a Social Worker - Clinical provider located in Decatur, IL. This NPI was enumerated on September 11, 2006.
MR. JERRY DOUGLAS, LCSW practices at 1770 E LAKESHORE DR, SUITE 209, Decatur, IL 62521.

Quick Facts

NPI
1841394939
Type
Individual
Enumerated
Sep 11, 2006
Last Updated
Feb 11, 2021

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