Provider Demographics
NPI:1770530636
Name:DUANE, FRANCINE BALDWIN (LCSW)
Entity type:Individual
Prefix:
First Name:FRANCINE
Middle Name:BALDWIN
Last Name:DUANE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:FRAN
Other - Middle Name:B
Other - Last Name:DUANE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:201 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77803-3237
Mailing Address - Country:US
Mailing Address - Phone:979-324-5424
Mailing Address - Fax:
Practice Address - Street 1:201 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77803-3237
Practice Address - Country:US
Practice Address - Phone:979-324-5424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-27
Last Update Date:2020-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX192891041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX063900701Medicaid