DANIEL J DODGE CSW

Dr DANIEL J DODGE CSW is a male medical professional, specializing in Clinical Social Worker. He graduated in 1986.

Contact

1 BRIDGE PLZ
SUITE 207A
OGDENSBURG
NY
136692219

Tel: 3153222486

DANIEL J DODGE CSW Information

Npi 1265553317
Pac Id 8224012547
Professional Enrollment Id I20040615000912
Last Name DODGE
First Name DANIEL
Middle Name J
Suffix
Gender M
Credential CSW
Medical School Name OTHER
Graduation Year 1986
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 1 BRIDGE PLZ
Line 2 Street Address SUITE 207A
Marker Of Address Line 2 Suppression
City OGDENSBURG
State NY
Zip Code 136692219
Phone Number 3153222486
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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