Doctor Name: | MS. ELLA M. DUNCAN |
NPI Number: | 1386620375 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | |
Business Practice Address: | 310 W Losey St Scott Afb, IL - 622255250 |
Business Phone Number: | 6182567203 |
Business Fax Number: | 6182567246 |
Mailing Address: | 310 W Losey St, SCOTT AFB |
State: | IL |
Postal Code: | 622255250 |
Phone Number: | 6182567203 |
Fax Number: | 6182567246 |
NPI Enumeration Date: | 12/21/2005 |
NPI Last Update Date: | 07/11/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |