MILDRED SUE DUKIC


Address: 512 Madison St, 3, Clarksville, TN 37040-3671
Phone: 6156046000

MILDRED SUE DUKIC (NPI# 1750775367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750775367
Entity Type Individual
Full Name MILDRED SUE DUKIC
Practice Address 512 Madison St
3
Clarksville
TN 37040-3671
Practice Telephone 6156046000
Mailing Telephone 6156046000
Enumeration Date 2015-03-20
Last Update Date 2015-03-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
3234 TN Behavioral Health & Social Service Providers

Office Location

Street Address 512 MADISON ST
3
City CLARKSVILLE
State TN
Zip Code 37040-3671

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1629677307 Samantha Kate Wacenske Counselor 1925 Ashland City Rd Apt 1422, Clarksville, TN 37043-1610 2020-10-22
1356948509 Meagan H Jones Counselor 3328 Mallard Dr, Clarksville, TN 37042-4754 2020-10-01
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1437665718 Sunny E Wells Counselor 298 Warfield Blvd Ste B, Clarksville, TN 37043-1828 2017-12-21
1134633241 Tonia Mechelle Goodrich Counselor 1316 Jared Ray Dr, Clarksville, TN 37042-6773 2017-11-28
1295276566 Teresa Logan Harrison Counselor 1854 Memorial Dr, Clarksville, TN 37043-4603 2017-03-20
1720529399 Kathleen Ferrara Lombardo Counselor 13766 Brighton Dam Rd, Clarksville, MD 21029-1334 2017-03-16
1326343633 Bridget M. Williams Counselor 775 Weatherly Drive, F, Clarksville, TN 37043 2011-01-18
1609005990 Vannessa Collier Counselor 231 Dunbar Cave Rd Ste A, Clarksville, TN 37043-8858 2009-07-08
1376785402 Adelaida Campbell Counselor 2515 Wilma Rudolph Blvd, Suite 103, Clarksville, TN 37040-5844 2009-04-03
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Competitor

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City CLARKSVILLE
Zip Code 37040

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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