Provider Demographics
NPI:1548871585
Name:DUNCAN, MAVANY (LMSW)
Entity type:Individual
Prefix:
First Name:MAVANY
Middle Name:
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:MAVANY
Other - Middle Name:
Other - Last Name:FOWLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:505 N TYLER RD APT 713
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67212-3680
Mailing Address - Country:US
Mailing Address - Phone:316-650-5778
Mailing Address - Fax:
Practice Address - Street 1:709 BROOKSIDE PL
Practice Address - Street 2:
Practice Address - City:COLWICH
Practice Address - State:KS
Practice Address - Zip Code:67030-9683
Practice Address - Country:US
Practice Address - Phone:316-364-8765
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-13
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician