Individual
ANDREW DUCKWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1315 S ADAMS ST, FORT WORTH, TX 76104-4404
(833) 484-6359
Mailing address
1315 S ADAMS ST, FORT WORTH, TX 76104-4404
(833) 484-6359
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
149023515
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YM0800X
TAXONOMY
—
Enumeration date
10/26/2020
Last updated
12/14/2023
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