Whalio Doctors

NPI 1205139714

Mary Fegurgur, PSYDLCSW

Practitioner Clinical Social Worker Tamuning, GU

Practice location

Address
426 Chalan San Antonio STE 104, Tamuning, GU 96913-3631
Phone
(671) 649-5910
Mailing address
Pob 326598, Hagatna, GUAM 96932

Registered specialties

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence LCS18780 (CA)

Registry record

NPI
1205139714
Entity type
Individual
Sex (as registered)
Female
NPI issued
6 Dec 2010
Record last updated
6 Dec 2010

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.