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NPI Code Detail

MEDICARE: LORI A. DUGAS LMSW-CC

MEDICARE: LORI A. DUGAS LMSW-CC
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 WorkerMC17875ME

General Provider Information

NPI Number : 1326508300
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI A. DUGAS LMSW-CC
Provider Business Mailing Address
First Line : 30 LEAVITT ST
Second Line :
City : SKOWHEGAN
State : ME
Zip : 04976-1843
Country : US
Telephone Number : 207-557-2966
Fax Number : 207-474-5244
Provider Business Practice Location Address
First Line : 30 LEAVITT ST
Second Line :
City : SKOWHEGAN
State : ME
Zip : 04976-1843
Country : US
Telephone Number : 207-557-2966
Fax Number : 207-474-5244
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2019
Last Update Date : 03/25/2019

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