Provider Demographics
NPI:1184325482
Name:DUNCAN, CHRISTINE BLYTHE (LMSW)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:BLYTHE
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:349 WOODSTONE LOOP
Mailing Address - Street 2:
Mailing Address - City:CIBOLO
Mailing Address - State:TX
Mailing Address - Zip Code:78108-3268
Mailing Address - Country:US
Mailing Address - Phone:210-827-3033
Mailing Address - Fax:
Practice Address - Street 1:349 WOODSTONE LOOP
Practice Address - Street 2:
Practice Address - City:CIBOLO
Practice Address - State:TX
Practice Address - Zip Code:78108-3268
Practice Address - Country:US
Practice Address - Phone:210-827-3033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-14
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63682104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker