Doctor Name: | KAREN E TRIBBY |
NPI Number: | 1275718694 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 5572 |
Business Practice Address: | 30 North 10th Street Cloquet, MN - 557201610 |
Business Phone Number: | 2188784800 |
Business Fax Number: | 2188784994 |
Mailing Address: | 30 10th St N, CLOQUET |
State: | MN |
Postal Code: | 557201634 |
Phone Number: | 2188784800 |
Fax Number: | 2188784994 |
NPI Enumeration Date: | 01/03/2008 |
NPI Last Update Date: | 07/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 5572 |
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 |