Individual
HANNAH M DUCKWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
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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