Individual
PROF. DOUGLAS C NYGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
93 EDWARDS ST, CLIFFORD BEERS CLINIC, NEW HAVEN, CT 06511-3933
(203) 772-1270
(203) 772-0051
Mailing address
312 TANNER MARSH RD, GUILFORD, CT 06437-2104
(203) 458-3081
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003493
CT
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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