Provider Demographics
NPI:1659086668
Name:DUNCAN, DENESHA (CSW, PMSW, PMHP)
Entity Type:Individual
Prefix:
First Name:DENESHA
Middle Name:
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:CSW, PMSW, PMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 CARRIAGE OAKS DR # 1080
Mailing Address - Street 2:
Mailing Address - City:TYRONE
Mailing Address - State:GA
Mailing Address - Zip Code:30290-1684
Mailing Address - Country:US
Mailing Address - Phone:470-354-0645
Mailing Address - Fax:470-296-6074
Practice Address - Street 1:8877 SENECA RD
Practice Address - Street 2:
Practice Address - City:PALMETTO
Practice Address - State:GA
Practice Address - Zip Code:30268-9533
Practice Address - Country:US
Practice Address - Phone:908-327-0762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-16
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical