Provider Demographics
NPI:1538943378
Name:DUNCAN, THOMAS KINGSBURY (LICSW)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:KINGSBURY
Last Name:DUNCAN
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 N 3RD ST APT 1
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98403-2249
Mailing Address - Country:US
Mailing Address - Phone:253-232-9348
Mailing Address - Fax:
Practice Address - Street 1:604 N 3RD ST APT 1
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98403-2249
Practice Address - Country:US
Practice Address - Phone:253-232-9348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health