NPI 1003321902

Glen Gaugh, LMSW

Practitioner Clinical Social Worker Jackson, TN

Practice location

Address: 24 Weatherford Sq, Jackson, TN 38305-2202
Phone: (731) 660-6730

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 9206 (TN)

Other Social Worker providers in Tennessee →

Registry record

NPI: 1003321902
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Dec 2017
Record last updated: 13 Dec 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.