Provider Demographics
NPI:1861081085
Name:DUNCAN, BRENDA (LMSW)
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1032
Mailing Address - Street 2:
Mailing Address - City:GROVETOWN
Mailing Address - State:GA
Mailing Address - Zip Code:30813-1532
Mailing Address - Country:US
Mailing Address - Phone:762-233-8194
Mailing Address - Fax:
Practice Address - Street 1:3231 ALEXANDRIA DR
Practice Address - Street 2:
Practice Address - City:GROVETOWN
Practice Address - State:GA
Practice Address - Zip Code:30813-4918
Practice Address - Country:US
Practice Address - Phone:254-290-1562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-12
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker