Doctor Name: | CAROL MICHELLE DUKE |
NPI Number: | 1194192237 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | C009963 |
Business Practice Address: | 1250 Alexandria Hwy Leesville, LA - 714467614 |
Business Phone Number: | 9123359490 |
Business Fax Number: | |
Mailing Address: | 1250 Alexandria Hwy, LEESVILLE |
State: | LA |
Postal Code: | 714467614 |
Phone Number: | 9123359490 |
Fax Number: | |
NPI Enumeration Date: | 08/24/2015 |
NPI Last Update Date: | 03/30/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C009963 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |