Individual
MICHELE DUCKSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3955 WINDCHIME LN, LAKELAND, FL 33811-3006
(863) 701-9353
Mailing address
3955 WINDCHIME LN, LAKELAND, FL 33811-3006
(863) 701-9353
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAP2261
FL
163W00000X
Registered Nurse
Primary
9309366
FL
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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