Provider Demographics
NPI:1083248322
Name:DUNCAN, EVELYN DIANE (MSW)
Entity Type:Individual
Prefix:MRS
First Name:EVELYN
Middle Name:DIANE
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8137 COUNTRYPARK DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-7621
Mailing Address - Country:US
Mailing Address - Phone:561-929-4106
Mailing Address - Fax:
Practice Address - Street 1:1690 S CONGRESS AVE STE 200
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-6386
Practice Address - Country:US
Practice Address - Phone:954-979-7911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-25
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical