Individual
MICHELLE LYNN DUCLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
6000B JEFFERSON AVE, NEWPORT NEWS, VA 23605-3266
(469) 357-8756
Mailing address
6000B JEFFERSON AVE, NEWPORT NEWS, VA 23605-3266
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0903002717
VA
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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