NPI 1063804821

Bryan Charles Duckham, PHDMSWLCSW

Practitioner Social Worker St. Louis, MO

Practice location

Address: 12125 Woodcrest Exec. Drive STE 110, St. Louis, MO 63141
Phone: (314) 275-8599
Fax: (314) 275-8299

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 366 (MO)

Other Social Worker providers in Missouri →

Registry record

NPI: 1063804821
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Mar 2015
Record last updated: 3 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.