Doctor Name: | CHRISTINE DUMKE |
NPI Number: | 1124383799 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.W. L.G.S.W. |
License Number: | 21267 |
Business Practice Address: | 7260 University Ave Ne Suite 235 Fridley, MN - 554323126 |
Business Phone Number: | 7635722605 |
Business Fax Number: | |
Mailing Address: | 6661 Pine St, CIRCLE PINES |
State: | MN |
Postal Code: | 550142115 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/10/2012 |
NPI Last Update Date: | 07/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 21267 |
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 |