Individual
LEROY MICHAEL DUCKWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 W COLUMBUS ST, BAKERSFIELD, CA 93301-1263
(661) 328-0245
Mailing address
501 W COLUMBUS ST, BAKERSFIELD, CA 93301-1263
(661) 328-0245
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
40667
CA
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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