MEDICARE: MS. DEBORAH DUNCAN LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MFC24878	CA

General Provider Information

NPI Number	:	1467557439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DEBORAH DUNCAN LMFT

Provider Business Mailing Address
First Line	:	4420 N 1ST ST
Second Line	:	SUITE 110
City	:	FRESNO
State	:	CA
Zip	:	93726-2331
Country	:	US
Telephone Number	:	559-225-1102
Fax Number	:

Provider Business Practice Location Address
First Line	:	4420 N 1ST ST
Second Line	:	SUITE 110
City	:	FRESNO
State	:	CA
Zip	:	93726-2331
Country	:	US
Telephone Number	:	559-225-1102
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	07/08/2007

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