Doctor Name: | MISS LINNEA CAMPBELL DUMKE |
NPI Number: | 1275971731 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 20513 |
Business Practice Address: | 3764 95th Ave Ne Circle Pines, MN - 550143849 |
Business Phone Number: | 6514156218 |
Business Fax Number: | |
Mailing Address: | 235 County Road B2 E Apt 161, SAINT PAUL |
State: | MN |
Postal Code: | 551171731 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/06/2013 |
NPI Last Update Date: | 02/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 20513 |
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 |