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Individual

HANNAH M DUCKWORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1133 LINCOLN AVE, EVANSVILLE, IN 47714-1028
(812) 491-2615
Mailing address
PO BOX 3117, EVANSVILLE, IN 47730-3117

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
33009376A
IN
1041C0700X
Clinical Social Worker
Primary
34009431A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
33009376A
LICENSE
IN
Enumeration date
04/01/2020
Last updated
10/15/2021
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