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Individual

DOUGLAS C BUGBEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICSW

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890000407
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
079597
VALUE OPTIONS
05
1007510
VT
01
2041724
CIGNA BEHAVIORAL HEALTH
01
28119
BLUE CROSS BLUE SHIELD
01
374165
MVP
Enumeration date
09/20/2006
Last updated
07/08/2007
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