| Doctor Name: | CHRISTINE GREENWALT CARPENTER |
| NPI Number: | 1083828172 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LMSW, ACSW |
| License Number: | 6801069517 |
| Business Practice Address: | 113 Howard St Petoskey, MI - 497704612 |
| Business Phone Number: | 2313486454 |
| Business Fax Number: | 2313486455 |
| Mailing Address: | 710 E Mitchell St, PETOSKEY |
| State: | MI |
| Postal Code: | 497702630 |
| Phone Number: | 2313480736 |
| Fax Number: | |
| NPI Enumeration Date: | 05/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801069517 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |