Doctor Name: | MS. CHRISTINE MARI OLIVER-KNEEBONE |
NPI Number: | 1235411364 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 19297 |
Business Practice Address: | 115 7th St Two Harbors, MN - 556161528 |
Business Phone Number: | 2188346005 |
Business Fax Number: | 2188346005 |
Mailing Address: | 1795 Highway 2, TWO HARBORS |
State: | MN |
Postal Code: | 556163018 |
Phone Number: | 2183558645 |
Fax Number: | 2188346005 |
NPI Enumeration Date: | 09/14/2011 |
NPI Last Update Date: | 09/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 19297 |
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 |