Doctor Name: | BOBBI JO B. KRIEG |
NPI Number: | 1033533955 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 18376 |
Business Practice Address: | 6425 Nicollet Ave Richfield, MN - 554231675 |
Business Phone Number: | 6128611675 |
Business Fax Number: | 6128613446 |
Mailing Address: | 6425 Nicollet Ave, RICHFIELD |
State: | MN |
Postal Code: | 554231675 |
Phone Number: | 6128611675 |
Fax Number: | 6128613446 |
NPI Enumeration Date: | 02/12/2014 |
NPI Last Update Date: | 02/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 18376 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |