Individual provider · Type 1 NPI

Roquette Marie Dungan, LCSW

Specialist · San Diego, CA

NPI number 1629195052 Active

Practice location

3020 Childrens Way, Mc 5014
San Diego, CA 92123-4223

Call (858) 966-4011 Map

Fax (858) 278-2365

Mailing address

3020 Children's Way, Mc 5014
San Diego, CA 92123-4282

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XLCS15435 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1629195052

Roquette Marie Dungan, LCSW's National Provider Identifier is 1629195052, issued on Mar 22, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Diego, CA. The record was last updated on Jul 8, 2007.