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NPI Code Detail

MEDICARE: MRS. KAREN J. DUBRET MSW

MEDICARE:  MRS. KAREN J. DUBRET  MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker6438LA

General Provider Information

NPI Number : 1245556265
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KAREN J. DUBRET MSW
Provider Business Mailing Address
First Line : 19463 WILDFLOWER DR
Second Line :
City : LORANGER
State : LA
Zip : 70446-4100
Country : US
Telephone Number : 985-662-1212
Fax Number : 985-878-9275
Provider Business Practice Location Address
First Line : 1000 N MORRISON BLVD
Second Line : SUITE G
City : HAMMOND
State : LA
Zip : 70401-2233
Country : US
Telephone Number : 985-662-1212
Fax Number : 985-878-9275
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2010
Last Update Date : 08/26/2010

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