Individual
AMY ELIZABETH DUGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1 LUPTON AVE, WOODBURY, NJ 08096-5901
(856) 332-4698
Mailing address
1 LUPTON AVE, WOODBURY, NJ 08096-5901
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00729200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0996076
—
NJ
Enumeration date
05/15/2024
Last updated
07/22/2024
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