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Provider Information for 1578797502


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Mrs. JULIE ANNE DUNCAN MS, LPC


Sex: Female

NPI: 1578797502
Last Updated: 2022-11-21
Certification Date: 2022-11-21

Details

NameValue
NPI1578797502
Enumeration Date2009-05-05
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 5400 BARKSDALE BLVD APT 714
BOSSIER CITY, LA 71112-4695
United States

Phone: 318-820-2463 | Fax:
 
Primary Practice Address 1533 MARSHALL ST
SHREVEPORT, LA 71101-3941
United States

Phone: 318-626-5597 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 171M00000X - Case Manager/Care Coordinator