Doctor Name: | MS. LAURIE L DURANEY |
NPI Number: | 1093745820 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 77418-123 |
Business Practice Address: | N6520 Guy Rd Black River Falls, WI - 546155405 |
Business Phone Number: | 6083551240 |
Business Fax Number: | |
Mailing Address: | 1103 Connie Rd, Apt. 8 BARABOO |
State: | WI |
Postal Code: | 539133215 |
Phone Number: | 6084482097 |
Fax Number: | |
NPI Enumeration Date: | 07/04/2006 |
NPI Last Update Date: | 03/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 77418-123 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |