Provider Demographics
NPI:1962844589
Name:DUVALL, ELAINE J (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ELAINE
Middle Name:J
Last Name:DUVALL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 CENTRAL PARKWAY EAST
Mailing Address - Street 2:SUITE 303
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074
Mailing Address - Country:US
Mailing Address - Phone:469-371-3985
Mailing Address - Fax:
Practice Address - Street 1:520 CENTRAL PARKWAY EAST
Practice Address - Street 2:SUITE 303
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074
Practice Address - Country:US
Practice Address - Phone:469-371-3985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-24
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX504291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical