Organization
FREDERICK DYGERT, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK DYGERT LCSW (OWNER)
(541) 520-1679
Entity
Organization
Contact information
Practice address
1445 WILLAMETTE ST STE 2B, EUGENE, OR 97401-4087
(541) 520-1679
Mailing address
1430 WILLAMETTE ST # 608, EUGENE, OR 97401-4049
(541) 520-1679
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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