Malcolm J. Dugas Jr. | |
209 Bayou Gardens Blvd. Suite K-4 Houma LA 70364-1420 | |
(985) 209-1974 | |
(985) 872-4707 |
Full Name | Malcolm J. Dugas Jr. |
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Speciality | Social Worker |
Location | 209 Bayou Gardens Blvd., Houma, Louisiana |
Authorized Official Name and Position | Malcolm J. Dugas (THERIPIST) |
Authorized Official Contact | 9852091974 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Malcolm J. Dugas Jr. Po Box 20355 Houma LA 70360-0355 Ph: (985) 209-1974 | Malcolm J. Dugas Jr. 209 Bayou Gardens Blvd. Suite K-4 Houma LA 70364-1420 Ph: (985) 209-1974 |
NPI Number | 1750579306 |
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Provider Enumeration Date | 10/09/2007 |
Last Update Date | 03/31/2015 |
Medicare PECOS PAC ID | 6103886031 |
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Medicare Enrollment ID | O20041015000027 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750579306 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 4615 (Louisiana) | Primary |
Provider Name | Malcolm J Dugas |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1922080902 PECOS PAC ID: 8123096161 Enrollment ID: I20040917001010 |
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