Doctor Name: | DEBBIE M DUGGAN |
NPI Number: | 1245346279 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LCS18512 |
Business Practice Address: | 21 Tamal Vista Blvd Suite 160 Corte Madera, CA - 949251130 |
Business Phone Number: | 4153882223 |
Business Fax Number: | |
Mailing Address: | 21 Tamal Vista Blvd, Suite 160 CORTE MADERA |
State: | CA |
Postal Code: | 949251130 |
Phone Number: | 4153882223 |
Fax Number: | |
NPI Enumeration Date: | 08/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCS18512 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |