Provider Demographics
NPI:1174637763
Name:DORGAN, MARGARET REYNOLDS (MSS)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:REYNOLDS
Last Name:DORGAN
Suffix:
Gender:F
Credentials:MSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 W STREET RD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-1698
Mailing Address - Country:US
Mailing Address - Phone:610-925-1501
Mailing Address - Fax:610-925-1581
Practice Address - Street 1:127 W STREET RD
Practice Address - Street 2:SUITE 302
Practice Address - City:KENNETT SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19348-1698
Practice Address - Country:US
Practice Address - Phone:610-925-1501
Practice Address - Fax:610-925-1581
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0132321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical