Search › Missouri › 104100000X
Bryan Duckham, PHD, MSW, LCSW
NPI 1063804821 · on the registry since 2015 · sole proprietor
Practice
- Address
- 12125 Woodcrest Exec. Drive Ste 110
St. Louis, MO 63141 - Phone
- (314) 275-8599
- Fax
- (314) 275-8299
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-03-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri