MS. Miko E Douglas
MS. Miko E Douglas is a Clinical Social Worker in Englewood, New Jersey. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
61 Grand Ave Ste 1Englewood, NJ 07631-3599
Phone: (201) 541-8600
Fax: (201) 541-8100
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1114576287 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 10, 2019 |
| Last updated in NPPES | September 10, 2019 |
| Mailing address | Po Box 1701, Ossining, NY 10562-0075 |
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