Provider Demographics
NPI:1073552089
Name:DUQUETTE, DEBBIE KAY (LICSW)
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:KAY
Last Name:DUQUETTE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 W DUBLIN DR STE 202
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-3157
Mailing Address - Country:US
Mailing Address - Phone:256-929-5507
Mailing Address - Fax:888-440-7284
Practice Address - Street 1:120 W DUBLIN DR STE 202
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-3157
Practice Address - Country:US
Practice Address - Phone:256-929-5507
Practice Address - Fax:888-440-7284
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-05
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1626C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51527591OtherFED BCBS
AL51526789OtherBCBS
AL51526789OtherBCBS