| Mr Tim Duane Gough Jr, LCSW-C | |
|
102 E Cecil Ave Ste B, North East, MD 21901-4057 | |
| (667) 231-1269 | |
| Not Available |
| Full Name | Mr Tim Duane Gough Jr |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 102 E Cecil Ave Ste B, North East, Maryland |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457085037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 28745 (Maryland) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Tim Duane Gough Jr, LCSW-C 102 E Cecil Ave Ste B, North East, MD 21901-4057 Ph: (667) 231-1269 | Mr Tim Duane Gough Jr, LCSW-C 102 E Cecil Ave Ste B, North East, MD 21901-4057 Ph: (667) 231-1269 |
Virginia R Lanczkowski, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 Mill Ln, North East, MD 21901 Phone: 410-287-6569 | |
Constance Muller-thym, LCSW-C Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 101 Mill Ln, North East, MD 21901 Phone: 410-287-6569 Fax: 410-287-8949 | |
Elizabeth Grace Wolf, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 12 Old York Ct, North East, MD 21901 Phone: 802-498-3735 | |
Ann Gonzalez, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2057 Pulaski Hwy Ste 4, North East, MD 21901 Phone: 732-599-9932 | |
Ms. Carolyn Marie Wells, LCPC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1930 Turkey Point Rd, North East, MD 21901 Phone: 410-287-5235 Fax: 410-287-2556 | |
Robyn Marie Boettner Hunt, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 31 Bay View Woods Loop, North East, MD 21901 Phone: 443-854-4257 |