Individual
DR. BRYAN CHARLES DUCKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, MSW, LCSW
Contact information
Practice address
12125 WOODCREST EXEC. DRIVE STE 110, ST. LOUIS, MO 63141
(314) 275-8599
(314) 275-8299
Mailing address
12125 WOODCREST EXEC. DRIVE STE 110, ST. LOUIS, MO 63141
(314) 275-8599
(314) 275-8299
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
366
MO
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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