Individual
ELONZO DUNCAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
G3500 FLUSHING RD, SUITE 112, FLINT, MI 48504-4235
(810) 230-8617
(810) 230-8459
Mailing address
G3500 FLUSHING RD, SUITE 112, FLINT, MI 48504-4235
(810) 230-8617
(810) 230-8459
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW6801015593
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007290046
AENTA
TX
01
—
046678
VALUEOPTIONS
MI
01
—
0894550
BLUE CROSS BLUE SHIELD
MI
01
—
0M00370
MEDICARE
MI
01
—
202062000
MAGELLAN BEHAVIORAL HEALT
MI
Enumeration date
01/03/2007
Last updated
02/23/2015
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