Individual
MRS. CONNIE LARAE DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
408 E VINE ST, VIENNA, IL 62995-1612
(618) 658-2611
(618) 658-2501
Mailing address
319 CIRCLE DR, VIENNA, IL 62995-1707
(618) 922-3295
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/03/2006
Last updated
05/03/2016
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