Provider Demographics
NPI:1205026317
Name:DUGAN, MESHON Y (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MESHON
Middle Name:Y
Last Name:DUGAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:ELLYN
Other - Middle Name:MESHON
Other - Last Name:DUGAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:401 UPTOWN SQ STE A
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-0575
Mailing Address - Country:US
Mailing Address - Phone:615-995-6347
Mailing Address - Fax:
Practice Address - Street 1:401 UPTOWN SQ STE A
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-0575
Practice Address - Country:US
Practice Address - Phone:615-867-6000
Practice Address - Fax:615-225-5371
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-26
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW00000053651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical