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NPI Code Detail

MEDICARE: MS. DEBORAH DUENCKEL ALLEN LCSW

MEDICARE: MS. DEBORAH DUENCKEL ALLEN 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
11041C0700XClinical Social WorkerLCS 13228CA

General Provider Information

NPI Number : 1760534101
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEBORAH DUENCKEL ALLEN LCSW
Provider Business Mailing Address
First Line : 111 E ARRELLAGA ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93101-1903
Country : US
Telephone Number : 805-882-2400
Fax Number : 805-882-2422
Provider Business Practice Location Address
First Line : 111 E ARRELLAGA ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93101-1903
Country : US
Telephone Number : 805-882-2400
Fax Number : 805-882-2422
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2007
Last Update Date : 07/16/2009

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