MR. Tim Duane Gough JR., LCSW-C

NPI #1457085037 in North East, Maryland

Provider Information

NPI Number: 1457085037
Entity Type: Individual
Name: MR. Tim Duane Gough JR., LCSW-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW-C
Enumeration Date: Jul 11, 2022
Last Updated: Dec 19, 2025

Practice Location

Address: 102 E CECIL AVE STE B
City: North East
State: Maryland
ZIP Code: 21901-4057
Phone: (667) 231-1269

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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