JERRY DOUGLAS, LCSW

LCSW

Clinical Social Worker

NPI: 1841394939Individual

Specialties, Licenses & Credentials

Psychiatry Physician

Psychiatry & Neurology — Psychiatry

Code: 2084P0800X

149011257(IL)

Clinical Social WorkerPrimary

Social Worker — Clinical

Code: 1041C0700X

Contact & Hours

Address: 1770 E LAKE SHORE DR, SUITE 209
DECATUR, IL 62521
Phone: (217) 423-6500

Quick Facts

NPI: 1841394939
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 2
Locations: 1

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