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Individual

MR. MATTHEW IVAN DUCKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
15001 E OXFORD AVE, AURORA, CO 80014-4191
(720) 808-0991
Mailing address
1080 N SHERMAN ST, #306, DENVER, CO 80203-2816
(720) 636-6283

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
IMF 49501
CA
106H00000X
Marriage & Family Therapist
Primary
MFT.0001216
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43023878
CO
Enumeration date
12/11/2006
Last updated
01/03/2022
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