Individual
MR. DOUGLAS ALLAN GAUSS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
7864 HARROLD CV, MILLINGTON, TN 38053-2400
(901) 872-3525
(901) 872-2610
Mailing address
PO BOX 344, BRUNSWICK, TN 38014-0344
(901) 872-3525
(901) 872-2610
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
IP 608
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3006330
BCBSTN
TN
Enumeration date
09/08/2005
Last updated
07/08/2007
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