Provider Demographics
NPI:1043443542
Name:HUSBAND, LAUREEN M
Entity type:Individual
Prefix:
First Name:LAUREEN
Middle Name:M
Last Name:HUSBAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LAUREEN
Other - Middle Name:MURUGI
Other - Last Name:MURIITHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:HUMAN SERV PGRM MGR
Mailing Address - Street 1:1290 GOLFVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:BARTOW
Mailing Address - State:FL
Mailing Address - Zip Code:33830-6740
Mailing Address - Country:US
Mailing Address - Phone:863-519-7900
Mailing Address - Fax:863-519-7696
Practice Address - Street 1:1255 BRICE BLVD
Practice Address - Street 2:
Practice Address - City:BARTOW
Practice Address - State:FL
Practice Address - Zip Code:33830-6735
Practice Address - Country:US
Practice Address - Phone:863-519-8233
Practice Address - Fax:863-519-8304
Is Sole Proprietor?:No
Enumeration Date:2009-08-31
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker