BRUCE G DOUGLASS PHD PC
Marriage and Family Therapists at Garfield Ave, Traverse City, MI

License number
Michigan 6301003193
Category
Marriage and Family Therapists
Type
Family
Owner
Name: DR. BRUCE G DOUGLASS PHD
Title: MANAGER
Phone: (231) 946-4419
Address
Address
934 S Garfield Ave STE C, Traverse City, MI 49686
National Provider ID: 1659513208
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BRUCE G. DOUGLASS, PHD, PC

Traverse City, MI

Industry:
Specialty Outpatient Clinic Health Practitioner's Office
Doing business as:
Bruce G Douglass PH.D
Registration:
Jan 21, 1999
Addresses:
934 S Garfield Ave #C, Traverse City, MI 49686 (Physical)
Michigan (Mailing)
State ID:
05131A
Business type:
Domestic Professional Service Corporation
Manager, Owner, Phd:
Bruce Douglass (Manager, Owner, Phd)
Agent:
Bruce G Douglass

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