Provider Demographics
NPI:1932535655
Name:DOGOTCH LUNDQUIST, SHEILA DIANE (MSW)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:DIANE
Last Name:DOGOTCH LUNDQUIST
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:SHEILA
Other - Middle Name:DIANE
Other - Last Name:DOGOTCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:9876 MAIN STREET
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188
Mailing Address - Country:US
Mailing Address - Phone:678-491-4620
Mailing Address - Fax:770-516-1300
Practice Address - Street 1:9876 MAIN ST
Practice Address - Street 2:SUITE 100
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-3970
Practice Address - Country:US
Practice Address - Phone:678-491-4620
Practice Address - Fax:770-516-1300
Is Sole Proprietor?:No
Enumeration Date:2013-09-26
Last Update Date:2013-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor