Provider Demographics
NPI:1386866390
Name:DUNCAN, MARY KAY (MSW)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:KAY
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:KAY
Other - Middle Name:
Other - Last Name:DUNCAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:10940 N.E. 33RD PLACE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-1432
Mailing Address - Country:US
Mailing Address - Phone:425-827-3030
Mailing Address - Fax:425-822-2960
Practice Address - Street 1:10940 N.E. 33RD PLACE
Practice Address - Street 2:SUITE 107
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-1432
Practice Address - Country:US
Practice Address - Phone:425-827-3030
Practice Address - Fax:425-822-2960
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000046611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical