Individual
MR. HENRY MILTON DUGAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4800 GRAND AVE APT E205, DAVENPORT, IA 52807-1038
(563) 570-6907
Mailing address
4800 GRAND AVE APT E205, DAVENPORT, IA 52807-1038
(563) 570-6907
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101Y00000X
IA
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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