Provider Demographics
NPI:1396400479
Name:DUNCAN, MARY PRICE (LSW)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:PRICE
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9450 HURON ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80260-7932
Mailing Address - Country:US
Mailing Address - Phone:720-542-2714
Mailing Address - Fax:
Practice Address - Street 1:9450 HURON ST UNIT B
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80260-7932
Practice Address - Country:US
Practice Address - Phone:720-542-2714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-03
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0009922780104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker