Individual
JENNIFER DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 W SELTICE WAY, COEUR D ALENE, ID 83814-8921
(208) 620-5255
Mailing address
PO BOX 1387, HAYDEN, ID 83835-1387
(208) 415-0299
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-35868
ID
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
943036820
—
ID
Enumeration date
06/16/2016
Last updated
03/04/2025
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