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Individual

MR. DENNIS CAUGHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L.C.S.W.

Contact information

Practice address
4600 HEATHER LN, BOGART, GA 30622-5384
(972) 742-1679
Mailing address
4600 HEATHER LN, BOGART, GA 30622-5384
(972) 742-1679

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005919
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003189477A
GA
Enumeration date
04/12/2007
Last updated
07/21/2022
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