| Malcolm J. Dugas Jr. | |
|
209 Bayou Gardens Blvd. Suite K-4 Houma LA 70364-1420 | |
| (985) 209-1974 | |
| (985) 872-4707 |
| Full Name | Malcolm J. Dugas Jr. |
|---|---|
| Speciality | Social Worker |
| Location | 209 Bayou Gardens Blvd., Houma, Louisiana |
| Authorized Official Name and Position | Malcolm J. Dugas (THERIPIST) |
| Authorized Official Contact | 9852091974 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Malcolm J. Dugas Jr. Po Box 20355 Houma LA 70360-0355 Ph: (985) 209-1974 | Malcolm J. Dugas Jr. 209 Bayou Gardens Blvd. Suite K-4 Houma LA 70364-1420 Ph: (985) 209-1974 |
| NPI Number | 1750579306 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 03/31/2015 |
| Medicare PECOS PAC ID | 6103886031 |
|---|---|
| Medicare Enrollment ID | O20041015000027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750579306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4615 (Louisiana) | Primary |
| Provider Name | Malcolm J Dugas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922080902 PECOS PAC ID: 8123096161 Enrollment ID: I20040917001010 |
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