Individual
MRS. ELISA M DUNCAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLC
Contact information
Practice address
1117 N JACKSON ST, BLOOMINGTON, IN 47404-3385
(812) 322-3467
(812) 339-4436
Mailing address
1117 N JACKSON ST, BLOOMINGTON, IN 47404-3385
(812) 322-3467
(812) 339-4436
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000600A
IN
Other
Enumeration date
06/14/2007
Last updated
01/14/2024
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