Gaugh, Glen

Gaugh, Glen is an individual health care provider with primary practice located at 24 Weatherford Sq , Jackson TN 38305-2202. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gaugh, Glen can be contacted via phone (731) 660-6730.

Contact Information

Primary practice address
24 Weatherford Sq Jackson TN 38305-2202
Phone: (731) 660-6730
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 9206 Tennessee

Profile Details

NPI number 1003321902
LBN Legal business name Gaugh, Glen
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2017
Last updated Dec 13th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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