| NPI | 1104834860 |
|---|---|
| Former Name | JENNIFER DEON DUCKETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2005-01904) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2014-07-02 |