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Individual
MR. GEORGE WILLIAM DEEGAN
Active
Individual
MR. GEORGE WILLIAM DEEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSW874
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1905
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
5565
FL
1041C0700X
Clinical Social Worker
72072418
NY
1041C0700X
Clinical Social Worker
Primary
PSW874
FL
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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