Provider Demographics
NPI:1245556265
Name:DUBRET, KAREN J (MSW)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:J
Last Name:DUBRET
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:19463 WILDFLOWER DR
Mailing Address - Street 2:
Mailing Address - City:LORANGER
Mailing Address - State:LA
Mailing Address - Zip Code:70446-4100
Mailing Address - Country:US
Mailing Address - Phone:985-662-1212
Mailing Address - Fax:985-878-9275
Practice Address - Street 1:1000 N MORRISON BLVD
Practice Address - Street 2:SUITE G
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70401-2233
Practice Address - Country:US
Practice Address - Phone:985-662-1212
Practice Address - Fax:985-878-9275
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-15
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA64381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical