NPI | 1124604236 |
---|---|
Other Name | DEVON TYRE DUKER-HANZER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-26933) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P015877) |
Enumeration Date | 2021-03-19 |
Last Update Date | 2021-03-19 |