Healthcare Provider Details

I. General information

NPI: 1598802043
Provider Name (Legal Business Name): FRANCES A. DUGGAN LCSW-R
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 06/24/2024
Certification Date: 06/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 601
POLACCA AZ
86042-0601
US

IV. Provider business mailing address

PO BOX 601
POLACCA AZ
86042-0601
US

V. Phone/Fax

Practice location:
  • Phone: 646-596-4087
  • Fax: 833-409-2178
Mailing address:
  • Phone: 646-596-4087
  • Fax: 833-409-2178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-16996
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: