Provider Demographics
NPI:1083844971
Name:MORSETTE, DOUGLAS DAN (MSW)
Entity Type:Individual
Prefix:MR
First Name:DOUGLAS
Middle Name:DAN
Last Name:MORSETTE
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4370 TELIDA TRL
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30039-2734
Mailing Address - Country:US
Mailing Address - Phone:770-885-7930
Mailing Address - Fax:770-885-7930
Practice Address - Street 1:4370 TELIDA TRL
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30039-2734
Practice Address - Country:US
Practice Address - Phone:770-885-7930
Practice Address - Fax:770-885-7930
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-26
Last Update Date:2009-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical