Individual
JUDITH DUNCAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW, MA
Contact information
Practice address
340 W GRAND BLVD, DETROIT, MI 48216-1423
(313) 422-3216
Mailing address
340 W GRAND BLVD, DETROIT, MI 48216-1423
(313) 422-3216
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
6401006796
MI
Other
Enumeration date
05/30/2008
Last updated
08/14/2008
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