Individual
CARLY SCANLON DUCLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
15932 UNITE WAY, FORT WORTH, TX 76177-1538
(802) 777-6777
Mailing address
15932 UNITE WAY, FORT WORTH, TX 76177-1538
(802) 777-6777
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86345335
TX
Other
Enumeration date
01/01/2024
Last updated
12/10/2025
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