Provider Demographics
NPI:1891435210
Name:DUQUETTE, VALERIE ANNE (LCSW)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:ANNE
Last Name:DUQUETTE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 HEALTH PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32086-5790
Mailing Address - Country:US
Mailing Address - Phone:904-819-5155
Mailing Address - Fax:904-819-4906
Practice Address - Street 1:201 HEALTH PARK BLVD STE 212
Practice Address - Street 2:
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32086-5797
Practice Address - Country:US
Practice Address - Phone:904-819-4040
Practice Address - Fax:904-819-4041
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-01
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW106271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical