Doctor Name: | MR. THOMAS P DUGGAN |
NPI Number: | 1093812893 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 0904000627 |
Business Practice Address: | 54 E Lee St Warrenton, VA - 20186 |
Business Phone Number: | 5403470613 |
Business Fax Number: | 5403470768 |
Mailing Address: | 54 E Lee St, WARRENTON |
State: | VA |
Postal Code: | 20186 |
Phone Number: | 5403470613 |
Fax Number: | 5403470768 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 12/04/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 0904000627 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |