MEDICARE: ANNMARIE H DUGGAN 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
1	1041C0700X	Clinical Social Worker	SW6048	FL

General Provider Information

NPI Number	:	1245008192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNMARIE H DUGGAN LCSW

Provider Business Mailing Address
First Line	:	18312 102ND WAY S
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33498-1663
Country	:	US
Telephone Number	:	561-699-6328
Fax Number	:

Provider Business Practice Location Address
First Line	:	18312 102ND WAY S
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33498-1663
Country	:	US
Telephone Number	:	561-699-6328
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2023
Last Update Date	:	12/19/2023

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