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NPI Code Detail

MEDICARE: MS. ALYSSA VOUGAS LCSW

MEDICARE: MS. ALYSSA VOUGAS LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker1759-CAR
21041C0700XClinical Social Worker50137TX

General Provider Information

NPI Number : 1235287798
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALYSSA VOUGAS LCSW
Provider Business Mailing Address
First Line : CARL R DARNALL ARMY MEDICAL CENTER
Second Line : 36000 DARNALL LOOP
City : FORT HOOD
State : TX
Zip : 76544
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 65 PROFESSIONAL PL STE 102103
Second Line :
City : BRIDGEPORT
State : WV
Zip : 26330-0258
Country : US
Telephone Number : 304-848-5770
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2007
Last Update Date : 09/07/2022

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Directions to “ MS. ALYSSA VOUGAS LCSW” Practice Location

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