Provider Demographics
NPI:1144386764
Name:DABNEY, CLAUDIA
Entity Type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:
Last Name:DABNEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5405 DELCASTLE DR
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63034-2622
Mailing Address - Country:US
Mailing Address - Phone:314-524-4080
Mailing Address - Fax:314-524-4181
Practice Address - Street 1:119 CHURCH ST
Practice Address - Street 2:SUITE 132
Practice Address - City:FERGUSON
Practice Address - State:MO
Practice Address - Zip Code:63135-2442
Practice Address - Country:US
Practice Address - Phone:314-524-4080
Practice Address - Fax:314-524-4181
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOSW002884104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker