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NPI Code Detail

MEDICARE: MRS. TRACEY L. DUGAN LCSW

MEDICARE:  MRS. TRACEY L. DUGAN  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 Worker44SC05273400NJ

General Provider Information

NPI Number : 1992730717
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TRACEY L. DUGAN LCSW
Provider Business Mailing Address
First Line : 729 WESTBOURNE RD
Second Line :
City : WEST CHESTER
State : PA
Zip : 19382-7420
Country : US
Telephone Number : 609-304-4090
Fax Number :
Provider Business Practice Location Address
First Line : 729 WESTBOURNE RD
Second Line :
City : WEST CHESTER
State : PA
Zip : 19382-7420
Country : US
Telephone Number : 609-304-4090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2006
Last Update Date : 08/15/2021

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Directions to “ MRS. TRACEY L. DUGAN LCSW” Practice Location

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