Individual
DOUGLAS EDMUND DAGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
30 HOLBROOK ST, FREEPORT, ME 04032-1205
(207) 865-4706
Mailing address
30 HOLBROOK ST, FREEPORT, ME 04032-1205
(207) 865-4706
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
LM4188
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104150200X
—
ME
Enumeration date
09/21/2010
Last updated
09/21/2010
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