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Individual

JILL K DUNCAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.C.S.W.

Contact information

Practice address
1030 SHIVE LN, BOWLING GREEN, KY 42103-8037
(270) 792-7058
Mailing address
PO BOX 51247, BOWLING GREEN, KY 42102-5547
(270) 792-7058

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1247
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100001330
KY
Enumeration date
11/30/2006
Last updated
11/04/2011
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