GLEN GAUGH

JACKSON, TN
NPI1003321902
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: TN  9206)
Enumeration Date2017-12-13
Last Update Date2017-12-13
Business Address
GLEN GAUGH LMSW
24 WEATHERFORD SQ
JACKSON, TN 38305-2202
Phone number: 731-660-6730
Mailing Address
GLEN GAUGH LMSW
24 WEATHERFORD SQ
JACKSON, TN 38305-2202
Phone number: 731-660-6730
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