Provider Demographics
NPI:1194741751
Name:DUNAWAY, M. DARLENE (LCSW)
Entity type:Individual
Prefix:
First Name:M.
Middle Name:DARLENE
Last Name:DUNAWAY
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 1:710 W EADS PKWY
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47025-1170
Mailing Address - Country:US
Mailing Address - Phone:812-539-2330
Mailing Address - Fax:812-539-2339
Practice Address - Street 1:710 W EADS PKWY
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:IN
Practice Address - Zip Code:47025-1170
Practice Address - Country:US
Practice Address - Phone:812-539-2330
Practice Address - Fax:812-539-2339
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY11461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical