MEDICARE: BRADEN TALBOT DUNCAN LCSW

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	1041C0700X	Clinical Social Worker	6975-C	AR

General Provider Information

NPI Number	:	1427480011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRADEN TALBOT DUNCAN LCSW

Provider Business Mailing Address
First Line	:	1202 NE MCCLAIN RD STE 141
Second Line	:
City	:	BENTONVILLE
State	:	AR
Zip	:	72712-3875
Country	:	US
Telephone Number	:	479-278-4323
Fax Number	:	855-230-2716

Provider Business Practice Location Address
First Line	:	1202 NE MCCLAIN RD STE 141
Second Line	:
City	:	BENTONVILLE
State	:	AR
Zip	:	72712-3875
Country	:	US
Telephone Number	:	479-278-4323
Fax Number	:	855-230-2716

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

Provider Enumeration Date	:	08/06/2013
Last Update Date	:	05/13/2025

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